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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDfiC~ OFfiCE 0" NOTICE OF INHERITANCE TAX
INHERITANCE TAX DI'IISI.r ,,- I 1 APPRAISE"EHT I ALLOWANCE OR DISALLOWANCE
PO BOX ZB0601 I1c:GbiER CF 'V, l S OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 171Z8-0601 ,.' I~ " .JOINTLY HELD OR TRUST ASSETS
'*
REV-15ft8 EX AFP (06-05)
2805 JUL 15 PH 12: 26
ClERK OF
ORflKAN'S COURT
ROBERT CUNlB~If!'{) CO.. PA
1318 OLD WILLOW MILL RD
MECHANICSBURG PA 17050
DATE 07-18-2005
ESTATE OF BRETZ MABEL E
DATE OF DEATH 03-11-2005
FILE NUMBER 21 05-0511
COUNTY CUMBERLAND
SSN/DC 159-24-8679
ACN 05001720
APPEAL DATE: 09-16-2005
(See reverse side under Objections)
AmDunt Rem1ttedl I
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 -
REY=i54S-EX-AFP-loi=o5i--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 07-18-2005
ESTATE Of BRETZ
MABEL
E DATE Of DEATH 03-11-2005
COUNTY
CUMBERLAND
fILE NO. 21 05-0511
TAX RETURN WAS:
S.S/D.C. NO. 159-24-8679
(X) ACCEPTED AS fILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05001720
fINANCIAL INSTITUTION: US SAVING BONDS
ACCOUNT NO.
BONDS
TYPE Of ACCOUNT: ()SAVINGS () CHECKING ()TRUST ()TIME CERTIfICATE
DATE ESTABLISHED 01-05-1963
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
25,456.72
0.500
12,728.36
.00
12,728.36
.45
572.78
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 (-)
06-06-2005 CD005402 " 28.64 544.15
TOTAL TAX CREDIT 572.79
BALANCE OF TAX DUE .01CR
INTEREST AND PEN. .00
TOTAL DUE .01CR
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRI, YOU NAY BE OUE A REFUND.
SEE REVERSE SIDE DF THIS FORM FOR INSTRUCTIONS. I
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