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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
:JdT!t~ '9F INHERITANCE TAX
'JAPP/tAlSi11ENT .-ALLOWANCE OR DISALLOWANCE
-'L'-~fO DEDUcnON~ AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO lOX 280'01
HARRISIURG PA 17128-0'01
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MARY L VALCIS
217 WALNUT DALE RD
SHIPPENSBURG PA 17257
REV-1548 EX AFP (0'-05)
DATE 03-05-2007
ESTATE OF BOWSER MARGARET H
DATE OF DEATH 12-29-2006
FILE NUMBER 21 07-0062
COUNTY CUMBERLAND
SSN/DC 191-30-1710
ACN 07103207
APPEAL DATE: 05-04-2007
(See reverse side u"der ObjectiollS)
A.ount Re.lttedl 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 4--
REY=is4i-EX-lFP-coi=os5--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 03-05-2007
ESTATE OF BOWSER
COUNTY
CUMBERLAND
MARGARET H DATE OF DEATH 12-29-2006
ACN
07103207
FILE NO. 21 07-0062
TAX RETURN WAS:
S.S/D.C. NO. 191-30-1710
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK
ACCOUNT NO.
103001326
TYPE OF ACCOUNT:
DATE ESTABLISHED
()SAVINGS OC) CHECKING (>TRUST (>TIME CERTIFICATE
10-12-2000
Account Balance
Percent Taxable
A.ount Subject to Tax
Debts and Deductions
Taxable A.ount
Tax Rate
Tax Due
6,128.24
0.166
1,021. 39
.00
1,021.39
.15
153.21
x
x
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUIMIT 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 (-)
02-02-2007 CDOO7772 7.66 145.55
TOTAL TAX CREDIT 153.21
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.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. }
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