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WILMA J CLARK
131 COVENTRY DR
CARLISLE
COMMONWEALTH OF PENNSYLVANIA
_ nr~~~ARTMENT OF REVENUE
" ' ; :,":"1'," ,
'NO~T-ICE OF INHERITANCE TAX
APPRAIISEMENT. ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
~ ~~I,N~~Y~H~LD OR TRUST ASSETS
I b 1i,:1 II' v I DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
*'
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
REV-1548 EX AFP (06-05)
2DBl ~/
03-19-2007
QUIGLEY
09-03-2006
21 07-0134
CUMBERLAND
207-07-9946
06157521
APPEAL DATE: 05-18-2007
(See reverse side under Objections)
Amount Re.itted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
MELVIN
K
PA 17015
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 03-19-2007
ESTATE OF QUIGLEY
MELVIN
K DATE OF DEATH 09-03-2006
COUNTY
CUMBERLAND
FILE NO. 21 07-0134
TAX RETURN WAS:
S.S/D.C. NO. 207-07-9946
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
06157521
FINANCIAL INSTITUTION: PNC BANK
ACCOUNT NO.
31600300251
TYPE OF ACCOUNT:
DATE ESTABLISHED
()SAVINGS () CHECKING ()TRUST OC )TIME CERTIFICATE
09-16-2005
x
17,021.09
1. 000
17,021.09
.00
17,021.09
.45
765.95
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 (-)
02-09-2007 CDoo7795 .00 765.95
TOTAL TAX CREDIT 765.95
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 $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND.
J