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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
HERSHEY ROBERT
613 SUNSET DRIVE
DILLSBURG, PA 17019
n______ fold
ESTATE INFORMATION: SSN: 174-20-8570
FILE NUMBER: 2106-0900
DECEDENT NAME: HERSHEY VIRGINIA M
DATE OF PAYMENT: 06/11/2007
POSTMARK DATE: 06/02/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 09/28/2006
NO. CD 008274
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
07000837 I $25.58
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$25.58
REMARKS:
CHECK# 5691
SEAL
INITIALS: CJ
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
, ".,c""::' ('TI_TICE OF INHERITANCE TAX
il" .'.J.PP.t~ISEMENT. ALLOWANCE OR DISALLOWANCE
;1::':bF.'DEDUCtIONS. AND ASSESSMENT OF TAX ON
- j .' J'dIlolTLY HELD OR TRUST ASSETS
REV-1S48 EX AFP (06-0S)
2001 JUN II PM I: 25
DATE 03-05-2007
ESTATE OF HERSHEY VIRGINIA M
DATE OF DEATH 09-28-2006
FILE NUMBER 21 06-0900
COUNTY CUMBERLAND
SSN/DC 174-20-8570
ACN 07000837
APPEAL DATE: 05-04-2007
(See reverse side ""der Objections)
A.oun~ Re.1~~edl 1
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CLERK OF
ORPHAN'S COURT
1WDt:K I S HE~,,(r~'ER' C',) , pl\
613 SUNSET DRIVE--
J1ILLSBURC PA 17-0.1.9-.
B615y B/(S,,,-uCK-,.
/ i ? KJ) ~ j{,:;:,SS uk; I.f'
It} be-J /'f 11/\15100/// (:::;.'9-
( /0 7_?
CUT ALONg THIS LINE .-+RETAIN.LoWER PORTION FOR YOUR. RECORDS. ,~
iEY:is4i-Ei-AFP-Cos: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 HERSHEY
VIRGINIA M DATE OF DEATH 09-28-2006
COUNTY
CUMBERLAND
FILE NO. 21 06-0900
TAX RETURN WAS:
S.S/D.C. NO. 174-20-8570
{> ACCEPTED AS FILED {X> CHANGED
ACN 07000837
SEE ATTACHED NOTICE
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: BANK OF AMERICA
ACCOUNT NO.
1-ANNUITY
TYPE OF ACCOUNT: {>SAVINGS {> CHECKING ()TRUST {)TIME CERTIFICATE
DATE ESTABLISHED 09-28-2005
Account Balance
Percent Taxable ~
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate J
Tax Due
82,230. "
0.333
27,409.95
548.87
26,861. 08
.45
1,208.75
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."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
12-26-2006 CD007601 59.80 1,136.16
PAYMENT MUST BE MADE BY 06-29-2007*. TOTAL TAX CREDIT 1,195.96
BALANCE OF TAX DUE 12.79
INTEREST AND PEN. .00
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