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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2B0601
HARRISBURG PA 1712B-0601
NOTICE OF INHERITANCE TAX
"APPRAI,SF~E~rl' ~LLOWANCE OR DISALLOWANCE
OFDEDucrltOlls', 'AND ASSESSMENT OF TAX ON
JptNTLV HELD OR TRUST ASSETS
REV-154B EX AFP (06-05)
Ie ,1'/ If '"l
';) I." i I; : .) I
DATE 03-19-2007
ESTATE OF BRUNGARD FRANCES T
DATE OF DEATH 12-02-2006
FILE NUMBER 21 06-1147
COUNTY CUMBERLAND
SSN/DC 177-09-8483
ACN 07104401
APPEAL DATE: 05-18-2007
(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
RUSSELL G BRUNGARD OF;~-'
7013 DORSEY RD
LAYTONSVILLE MD 20882-1220
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 03-19-2007
ESTATE OF BRUNGARD
FRANCES
T DATE OF DEATH 12-02-2006
COUNTY
CUMBERLAND
FILE NO. 21 06-1147
TAX RETURN WAS:
S.S/D.C. NO. 177-09-8483
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
07104401
FINANCIAL INSTITUTION: FULTON BANK
ACCOUNT NO.
400-1859844
TYPE OF ACCOUNT:
DATE ESTABLISHED
()SAVINGS () CHECKING (HRUST ex HIME CERTIFICATE
04-06-1992
x
13,706.19
0.500
6,853.10
.00
6,853.10
.15
1,027.97
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."
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
x
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
02-12-2007 CDo07806 51.40 976.58
TOTAL TAX CREDIT 1,027.98
BALANCE OF TAX DUE .01CR
INTEREST AND PEN. .00
TOTAL DUE .01CR
* 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