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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
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IL\;,',' ;....~, '. "'-, DATE 12-11-2006
ESTATE OF HERSHBERGER
2006 DEe -8 PM 12: 07DATE OF DEATH 01-25-2005
FILE NUMBER 21 05-0238
COUNTY CUMBERLAND
SSN/DC 200-22-5419
ACN 06000030
APPEAL DATE: 02-09-2007
(See reverse side under Ohjections)
Amount Remitted L J
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE~ PA 17013
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX Z80601
HARRISBURG PA 171Z8-0601
EDWARD HERSHBERGER CLEfiK OF
ORPHAN'S COURT
~~~o~~~MEL AVE PA 170~YvT \'-'c. PA
*
REV-1548 EX AFP (06-05)
MILDRED
I
TO:
CUT ALONG THIS LINE .... RETAIN LOWER PORTION FOR YOUR RECORDS ....
REV=is4S-EX-AFP-C03=OSj------------________________________________________________________
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 12-11-2006
ESTATE OF HERSHBERGER
MILDRED I DATE OF DEATH 01-25-2005
S.S/D.C. NO. 200-22-5419
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FILE NO. 21 05-0238
TAX RETURN WAS:
FINANCIAL INSTITUTION: BANKERS LIFE
COUNTY
CUMBERLAND
ACN
06000030
ACCOUNT NO.
7806837
TYPE OF ACCOUNT: ()SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 01-30-2000
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
5~020.37
0.250
1~255.09
.00
1. 255.09
.45
56.48
TAX CREDITS:
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."
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
INTEREST IS CHARGED THROUGH 12-19-2006 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 56.48
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 4.35
TOTAL DUE 60.83
· IF PAID AFTER THIS DATE~ SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $l~ NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR)~ YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
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