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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
~:':'i~r'r;!-{-; C)i~t~'eE: PF INHERITANCE TAX
":~A~RAI,SEMENi ,'ALLOWANCE OR DISALLOWANCE
,'}'>OF 1)~Ii!JCTIONS, AND ASSESSMENT OF TAX ON
. JOINTLY HELD OR TRUST ASSETS
*
2aD7 JP\N /6 PI~ 12: 0 I
ETHEL J PETERSON
1520 SELTZER CT
MECHANICSBURG
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PA 17050
REV-1548 EX AFP (06-05)
DATE 01-15-2007
ESTATE OF PETERSON RICHARD N
DATE OF DEATH 07-17-2006
FILE NUMBER 21 06-1101
COUNTY CUMBERLAND
SSN/DC 086-20-0896
ACN 06153177
APPEAL DATE: 03-16-2007
(See reverse side under Ohjections)
Allount Rem1tted [ ]
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALDN. TNIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS _
REV:is4i-EX-AFP-CO.:isj----___________________________-------------------------------------
NOTICE OF INHERITANCE TAX APPRAISENENT, ALLOWANCE DR DISALLOWANCE OF
DEDUCTIONS. AWD ASSESSNENT OF TAX ON JOINTLY HELD DR TRUST ASSETS
DATE 01-15-2007
ESTATE OF PETERSON
RICHARD
N DATE OF DEATH 07-17-2006
FILE NO. 21 06-1101
TAX RETURN WAS:
COUNTY
CUMBERLAND
S.S/D.C. NO. 086-20-0896
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
TYPE OF ACCOUNT:
DATE ESTABLISHED
ACN
06153177
ACCOUNT NO.
118029-61
()SAVINGS () CHECKING ()TRUST OC )TIME CERTIFICATE
01-29-1993
Account Balance
Percent Taxable X
Amount SUbject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
10,342.20
0.166
1,723.73
.00
1,723.73
.00
.00
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
TOTAL DUE .ro 1
II IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. II 'D
{ 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. )