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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
*
.. ~o-HeE: OF INHERITANCE TAX
'~'..'{~~~;S~MENT.l ALLOWANCE OR DISALLOWANCE
llJfB~PUCTIOtj~, AND ASSESSMENT OF TAX ON
,,:;.' :.. ;JO-lNTL Y HELD OR TRUST ASSETS
ZOOI JUN \\ PM 2: 00
C' rn\\ OF
;~- ,r..(....f\\ lor
ORPrl/\~J ':::l ' .' il.: I'
JUDITH A VALENTINE I l~:"~'" \' r,::-n. ..
5249 STRATHMORE DR CU,:
MECHANICSBURG PA 17050-6815
REV-1548 EX AFP (06-05>
DATE 06-11-2007
ESTATE OF VALENTINE ANN M
DATE OF DEATH 03-12-2007
FILE NUMBER 21 07 - 0456
COUNTY CUMBERLAND
SSN/DC 360-07-4493
ACN 07116373
APPEAL DATE: 08-10-2007
(See reverse side "nder Objections)
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 +--
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 06-11-2007
ESTATE OF VALENTINE
ANN
CUMBERLAND
M DATE OF DEATH 03-12-2007
FILE NO. 21 07-0456
TAX RETURN WAS:
COUNTY
S.S/D.C. NO. 360-07-4493
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: INTEGRITY BANK
TYPE OF ACCOUNT:
DATE ESTABLISHED
ACN
07116373
ACCOUNT NO.
201005083
()SAVINGS OC:) CHECKING (>TRUST ()TIME CERTIFICATE
04-29-2004
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
3,765.60
0.500
1,882.80
2,203.61
.00
.45
.00
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 (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00-.\ 1
TOTAL DUE .o~ ?
* 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. )