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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES [[\r'c 0f NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION RcrORDED OrrAP'J!RIlISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX Z80601 ' ,-V, ""'''':''lqfj\ P'PUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 171Z8-0601 SE:;'~; \ L j ",- ,- v JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
2nn~ DEe -8 p,", \2: 01
CLERK OF I T
DIANN HERse~~S COl;R. ^
226 N MARKET s-CUV1;r", ,.' , p,...,
ELIZABETHTOWN PA 17022
DATE 12-11-2006
ESTATE OF HERSHBERGER MILDRED I
DATE OF DEATH 01-25-2005
FILE NUMBER 21 05-0238
COUNTY CUMBERLAND
SSN/DC 200-22-5419
ACN 06000033
APPEAL DATE: 02-09-2007
(See reverse side under Objections)
Amount Remitted I 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 +-
REV=is4S-EX-iFP-C03=osi----------------------------------------------------________________
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
COUNTY
CUMBERLAND
FILE NO. 21 05-0238
TAX RETURN WAS:
S.S/D.C. NO. 200-22-5419
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
06000033
FINANCIAL INSTITUTION: BANKERS LIFE
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
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 (-)
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. . r~
( 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