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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE DR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-15~8 EX AFP (06-05)
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DATE 05-07-2007
ESTATE OF LEON DONALD C
DATE OF DEATH 01-14-2007
FILE NUMBER 21 07-0323
COUNTY CUMBERLAND
SSN/DC 067-26-6854
ACN 07110122
APPEAL DATE: 07-06-2007
(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
DONNA-'J WRIGHTSTONE
1716 MAPLE ST
NEW CUMBERLAND PA 17070
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 05-07-2007
ESTATE OF LEON
DONALD
C DATE OF DEATH 01-14-2007
COUNTY
CUMBERLAND
FILE NO. 21 07-0323
TAX RETURN WAS:
S.S/D.C. NO. 067-26-6854
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
07110122
FINANCIAL INSTITUTION: FULTON BANK
ACCOUNT NO.
3622-23389
TYPE OF ACCOUNT:
DATE ESTABLISHED
()SAVINGS OC) CHECKING (>TRUST (>TIME CERTIFICATE
09-23-2003
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
1,339.71
0.166
223.29
.00
223.29
.45
10.05
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."
X
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
PAYMENT MUST BE MADE BY 10-15-2007*. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 10.05
INTEREST AND PEN. .00
TOTAL DUE 10.05
* 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.
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