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BUREAU OF INDiiOOiJDfD.QFFICE OF
IHtERITAHCE TAX DIV'l~T"[:R nr: ';.~.Il' i \:
PO BDX 280601 ~L.vl'\.) L I 'J /';;[ _.)
HARRISBURG PA 17128-0601
COMMONWEAL TN O~ PI:NNSn. V"HZ"
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAK
APPRAISEHENT, ALLONANCE OR OISALLONANCE
OF DEDUCTIONS, AND ASSESSI1ENT OF TAX 011
JOINTLY HELD OR TRUST ASSETS
'*'
REV-15~8 EX AFP (03-05]
2005 JUL 15 PH 12: 26
DATE
ESTATE OF
DATE OF DEATH
FILE HUItBER
COUNTY
SSN/DC
ACN
07-12-2005
SMITH
04-11-2004
J..\-~5-("I.\\o
CUMBERLAND
202-20-6003
04133285
AIIo...t R_ttt.d
ALTA
S
CLERK OF
ORPHAN'S COURT
SUZANIi1JM!3!iPlM'fJfS&;O. P;
17 YORK CIR
MECHANICSBURG PA 17050-2752
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 ~
1"'-~~1ri!I:~J.~~~1J.I'....................................................................................
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 07-12-2005
ESTATE OF SMITH
ALTA
S DATE OF DEATH 04-11-2004
COUNTY
CUMBERLAND
FILE NO. S.S/D.C. NO. 202-20-6003
TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
04133285
FINANCIAL INSTITUTION: CITIZENS BANK OF PA
ACCOUNT NO.
6100771431
TYPE OF ACCOUNT: () SAVINGS (lO CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 09-19-1988
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
1,304.04
0.500
652.02
1,539.71
.00
.45
.00
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 (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
I IF TOTAL DUE IS LESS TIW'I $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTEO AS A "CREDIT" I CR), YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
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