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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 OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-15Q8 EX AFP (06-05)
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DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
06-05-2007
MONTGOMERY
02-22-2006 ~/_ 0'1- 550
CUMBERLAND
305-18-7382
06133034 ,
APPEAL DATE: 08-04-2007
(See reverse side under Objections)
A.aunt Re.ltted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
MILDRED
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OF;r~I~,',: "
BAR BARA Cl.F.;J-H E R'D
115 N 30TH ST
CAMP HILL PA 17011
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HERD CHIROPRACTIC CLlNIC"~J' I n~ I 'J
2704 MARKET STREET . ,'1n-. '- ,. (-
c.A.MP HIll. PENNSVlVANIA 17011
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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
HERD BARBARA
11 5 NORTH 30TH STREET
CAMP HILL, PA 17011
___n___ fold
ESTATE INFORMATION: SSN: 305-18-7382
FILE NUMBER: 2107-0550
DECEDENT NAME: MONTGOMERY MILDRED L
DA TE OF PAYMENT: 06/12/2007
POSTMARK DATE: 06/11/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 02/22/2006
NO. CD 008279
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
06133034 I $169.85
I
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TOTAL AMOUNT PAID:
$169.85
REMARKS:
CHECK# 5943
SEAL
INITIALS: WZ
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS