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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
.
BUREAU OF INDIV1I1UA,b ,,;A~~
INHERITANCE TAX DIV\ISr~ _"
PO lOX 280601 . ';:;:.. (' ,-" ,-',
HARRISIURG PA 17128-0'~"1 ,c_' \ '.'
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (0'-05)
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DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
06-05-2007
MONTGOMERY
02-22-2006
2.-1-01-0$0
CUMBERLAND
305-18-7382
06133034
APPEAL DATE: 08-04-2007
(See reverse side "nder ObjectioNs)
A.ount Re.1ttedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
MILDRED
L
~ ;' ~l l - \
r. ' \1'): \\4
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BARBARA Cf'HEJtD
115 N 30~I,r'ST
CAMP HILL
PA 170ll
TO:
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REY:is4i-EX-iFP-C03:0si--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 06-05-2007
ESTATE OF MONTGOMERY
MILDRED
L DATE OF DEATH 02-22-2006
COUNTY
CUMBERLAND
FILE NO. S.S/D.C. NO. 305-18-7382
TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
06133034
FINANCIAL INSTITUTION: BANK OF AMERICA
ACCOUNT NO.
000005022067
TYPE OF ACCOUNT:
DATE ESTABLISHED
~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
08-14-1984
x
2,170.40
0.500
1,085.20
.00
1,085.20
.15
162.78
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."
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
x
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
INTEREST IS CHARGED THROUGH 06-13-2007 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 162.78
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 7.07
TOTAL DUE 169.85
* 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. )