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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
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',::,(J-';,T) (",r:I~rnlfEOF INHERITANCE TAX
::APE'RA'I!sIiHENT' ALLOWANCE OR DISALLOWANCE
qFP'E~ucfl:ONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
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TIM MADDE~t}' .
C/O 733 OLD SLVR SPG RD
MECHANICSBURG PA 17055
REV-1548 EX AFP (06-05)
DATE 02-19-2007
ESTATE OF MADDEN PHILLIP P
DATE OF DEATH 11-02-2006
FILE NUMBER 21 07-0005
COUNTY CUMBERLAND
SSN/DC 164-30-2957
ACN 06161734
APPEAL DATE: 04-20-2007
(See reverse side under Objections)
Amount Re.itted 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 +--
REY=is4i-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 02-19-2007
ESTATE OF MADDEN
PHILLIP
COUNTY
CUMBERLAND
P DATE OF DEATH 11-02-2006
FILE NO. 21 07-0005
TAX RETURN WAS:
S.S/D.C. NO. 164-30-2957
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: FULTON BANK
ACN
06161734
ACCOUNT NO.
018-0221131
TYPE OF ACCOUNT:
DATE ESTABLISHED
()SAVINGS () CHECKING OC >TRUST ()TIME CERTIFICATE
12-07-2004
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
100,021.54
0.333
33,340.18
.00
33,340.18
.45
1,500.31
x
x
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 (-)
PAYMENT MUST BE MADE BY 08-03-2007*. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 1,500.31
INTEREST AND PEN. .00
TOTAL DUE 1,500.31
* 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.
J