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COMMONWEALTH OF PENNSYLVANIA
~..-AOD~r~~~~tH~NT OF REVENUE
t-;U-, l'l)CIJ Vi rlL;t UI
:..,".,";.'.'......'''1. IC~OF INHERITANCE TAX
:'CU~al:r$ N,"~ :~'LLOKANCE OR DISALLOKANCE
OF DEDU IONSL AND ASSESSKENT OF TAX ON
SECURITY ACCOUNTS HELD IN
2006 DEe -4 PMB~E2rsIARY FORK
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSNI'DC
ACN
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX Z80601
HARRISBURG. PA 171Z8-0601
CLERK OF
ORPHAN'S COURT
CU; ~""'-'~' " ',-, -, D\
'\! i'" , ;:, I" :~,
KAREN J DEIBLER
34 BLAIR MOUNTAIN RD.
DILLSBURG PA 17019
.
REY-1548A AFP (0'-115)
12-04-2006
LARNEY
08-17-2006
21 06-0747
CUMBERLAND
176-32-2941
06500465
APPEAL DATE: 02-02-2007
(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
ANNE
C
TO:
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS ~
RE-V:is4-iA--~FP--{oi:-oji----------------------------------------_____________________________________________
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS
AND ASSESSMENT OF TAX ON SECURITY ACCOUNTS HELD IN BENEFICIARY FORM
DATE 12-04-2006
ESTATE OF LARNEY
ANNE
C DATE OF DEATH 08-17-2006
FILE NO. 21 06-0747
TAX RETURN WAS:
COUNTY
CUMBERLAND
S.S/D.C. NO. 176-32-2941
(X) ACCEPTED AS FILED () CHANGED
BENEFICIARY FORM OF ASSET INFORMATION
NAME OF SECURITY:
MERRILL LYNCH
TYPE OF ASSET:
ACN
06500465
ACCOUNT NO.
872-47339
( ) SECURITIES ()O SECURITY ACC ( ) STOCK () BONDS
DOD Valuation
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
276,782.00
0.200
55,356.40
.00
55,356.40
.15
8,303.46
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 (-)
10-30-2006 CD007365 415.17 7,888.29
TOTAL TAX CREDIT 8,303.46
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00 "
if IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. if ,
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT"" ( CR), YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. )