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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
RS"C ~Q., p~, ,Q. ,Sem" '.' ,a:, '" ,- :,' I~~:::~~T~:C~I~:~LOWANCE
ht~~i~,t-i~l~h:~ND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
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PA 17022
REV-1548 EX AFP (06-05)
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
12-11-2006
HERSHBERGER
01-25-2005
21 05-0238
CUMBERLAND
200-22-5419
06000032
APPEAL DATE: 02-09-2007
(See reverse side under Objections)
Amount Remitted I ]
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE. PA 17013
MILDRED
I
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. NG. 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
06000032
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
DR 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 $1. 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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