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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 1712B-0601
NOTICE OF INHERITANCE TAX
~~~~~1)~~~~W~~CE OR DISALLOWANCE
OF--'D~DUCTI.oIllS,' 'AND 'ASSESSMENT OF TAX ON
:;r'JQiN1~VHE.LD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
ZOD7 J,&N 16
DATE
P' . ~STATE OF
M12. ODATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
01-15-2007
MCMAHON
04-21-2006
21 06-1098
CUMBERLAND
212-42-8864
06155756
APPEAL DATE: 03-16-2007
(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
KATHERINE A
CLEFif<
EDNA D POCHATKO ORPHi~.:{C' ('/)i IRT
1002 CRYSTAL CREEK DR CLJ\,~' "~"~, D,~,
MECHANICSBURG PA 17050
TO:
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REY=is4S-EX-AFP-C03=Os5--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 01-15-2007
ESTATE OF MCMAHON
KATHERINE A DATE OF DEATH 04-21-2006
COUNTY
CUMBERLAND
FILE NO. 21 06-1098
TAX RETURN WAS:
S.S/D.C. NO. 212-42-8864
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
06155756
FINANCIAL INSTITUTION: PNC BANK
ACCOUNT NO.
5000905507
TYPE OF ACCOUNT:
DATE ESTABLISHED
~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
04-29-1997
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
8,499.88
0.500
4,249.94
.00
4,249.94
.45
191.25
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."
X
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
12-12-2006 CDo0755o .00 191. 25
TOTAL TAX CREDIT 191.25
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00 "
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. * ~
( IF TOTAL DUE IS LESS THAN t1, NO PAYMENT IS REQUIRED. J
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )