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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
i'r'l"'f"\Rf\l=\) ~:-r\CE ~tICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ht:.vlJ J_ . lU~ftlENT ALLOWANCE OR DISALLOWANCE
IIItERITANCE TAX DIVISION,_ ~.~. ,
PO BOX 280601 F DE tIONS, AND ASSESSMENT OF TAX ON
HARRISIlURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
'*
lOOo SEP 22 AM 9: 55
CLERK OF
ORP\-\/~~\'S!!qURT
CHARLES D FRY ~~W-- ,. '1, PA
612 W LOCUST ST
CLEARFIELD PA 16830
REV-lS48 EX AFP (06-05)
DATE 09-25-2006
ESTATE OF FRY HAZEL K
DATE OF DEATH 08-12-2005
FILE NUMBER 21 06-0454
COUNTY CUMBERLAND
SSN/DC 200-32-2830
ACN 05149239
APPEAL DATE: 11-24-2 06
(See reverse side under Ohjectio s)
A.aunt R_itted
MAKE CHECK PAYABLE AND REM T PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS +- ;
--------------------------------------------------------------------------~----------------
REV-1548 EX AFP (03-05) !
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF!
DEDUCTIONS, AND ASSESSMENT. OF TAX ON JOINTLY HELD OR TRUST ASSETS 1
DATE 0~-25-2006
ESTATE OF FRY HAZEL K DATE OF DEATH 08-12-2005 COUNTY I CUMBERLAND
I
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 I
i
05149239
121226~2
TYPE OF ACCOUNT: ()SAVINGS () CHECKING ~ )TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 10-10-1997
FINANCIAL INSTITUTION: CLEARFIELD BANK & TRUST CO
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
4,892.63
0.333
1,630.86
.00
1,630.86
.15
244.63
ACCOUNT NO.
NOTE: TO INSURE PROrER CREDIT TO
YOUR ACCOUNT, I SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDE~ PAYABLE TO:
"REGISTER OF ~ILLS, AGENT."
,
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-) i
INTEREST IS CHARGED THROUGH 10-03-2006 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 244.63
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 6.76
TOTAL DUE 251.39
"
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" ( CRl, YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. l
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