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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*
BUREAU OF INDIVI~ 'T~
INtERITANCE TAX DIYISI-oM"...
PO BOX ZB06Dl
HARRISBURG PA 17128-0&01
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSHENT OF TAX ON
~OINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (03-05)
51
DATE
ESTATE OF
DATE OF DEATH
FILE NUIlBER
COUNTY
SSN'DC
ACN
06-13-2005
MATOS
12-22-2004
21 05-0387
CUMBERLAND
089-20-5678
05115229
Anount R_itt...
YOLANDA
YOLAND~.' q.if!-~~~ri~CU:r .
.1'.'.i'.,..... .
3812 C sf NUT ST
CAMP HILL PA 17011
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
A~-~'1ri!!:~'.1raJ:-",.,....................................................................................
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLONANCE OR DISALLONANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 06-13-2005
ESTATE OF MATOS
YOLANDA
DATE OF DEATH 12-22-2004
COUNTY
CUMBERLAND
FILE NO. 21 05-0387
TAX RETURN WAS:
S.S/D.C. NO. 089-20-5678
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05115229
FINANCIAL INSTITUTION: PNC BANK
ACCOUNT NO.
5000967708
TYPE OF ACCOUNT: () SAVINGS (lO CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 10-30-2000
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts end Deductions
Taxable Amount
Tax Rate X
Tex Due
2,427.74
0.500
1,213.87
.00
1,213.87
.45
54.62
NOTE, TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
PAYMENT MUST BE MADE BY 09-23-2005~. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 54.62
INTEREST AND PEN. .00
TOTAL DUE 54.62
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRl, YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FO~ FOR INSTRUCTIONS. 1
Q..S "-