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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
cNOT:n:E"' OF (rJillfERIT ANCE TAX
APPRAISEHENT,-ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
l"'", ,.. .., ," ~"
, I', ~ ffi::TE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSNI'DC
ACN
07-03-2006
FRY
08-12-2005
21 06-0454
CUMBERLAND
200-32-2830
05149240
APPEAL DATE: 09-01-2006
(See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
HAZEL
K
C R FRY
112 HILLTOP DRIVE
MT HOLLY SPRINGS PA 17065
TO:
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +-
REY=is4S-EX-AFP-lo3=Osi--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 07-03-2006
ESTATE OF FRY
HAZEL
K DATE OF DEATH 08-12-2005
COUNTY
CUMBERLAND
FILE NO. 21 06-0454
TAX RETURN WAS:
S.S/D.C. NO. 200-32-2830
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05149240
FINANCIAL INSTITUTION: CLEARFIELD BANK & TRUST CO
ACCOUNT NO.
12122602
TYPE OF ACCOUNT: ()SAVINGS () CHECKING ~ )TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 10-10-1997
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
4,892.63
0.333
1,630.86
1,518.08
112.78
.45
5.08
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."
X
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
05-24-2006 CD006735 .00 5.08
TOTAL TAX CREDIT 5.08
BALANCE OF TAX DUE .00
INTEREST AND PEN. .01
TOTAL DUE .01
· 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" ( CRJ, YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J
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