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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX OIVISION
PO BOX 280601
HARRISBURG PA 1712B-0601
NOTICE OF INHERITANCE TAX
APPRAIS.EMENT.. ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
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HUGH R JONES
2 APPOMATTOX CT
MECHANICSBURG PA 17h~5
REV-154B EX AFP (06-05)
DATE 04-16-2007
ESTATE OF JONES MARGARET S
DATE OF DEATH 01-06-2007
FILE NUMBER 21 07-0135
COUNTY CUMBERLAND
SSN/DC 161-32-5360
ACN 07108367
APPEAL DATE: 06-15-2007
(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
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REY=is4i-EX-AFP-C03=OSj--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 04-16-2007
ESTATE OF JONES
CUMBERLAND
MARGARET S DATE OF DEATH 01-06-2007
FILE NO. 21 07-0135
TAX RETURN WAS:
COUNTY
S.S/D.C. NO. 161-32-5360
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK
TYPE OF ACCOUNT:
DATE ESTABLISHED
ACN
07108367
ACCOUNT NO.
5130211431
~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
11-25-2005
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
3,094.95
0.166
515.84
.00
515.84
.45
23.21
x
TAX CREDITS:
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."
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
03-12-2007 CD007894 1.16 23.21
TOTAL TAX CREDIT 24.37
BALANCE OF TAX DUE 1.16CR
INTEREST AND PEN. .00
TOTAL DUE 1 . 16CR
* 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 INSTRUCTrDN~_ )
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