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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES_"--.nc,:-!\ ,,,,-r-'f', ,"-NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION I ',-i, :('["1),-,) 'JAPl:'J{it\.ISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 2B0601 ..... 'OF'.jlIEDtJCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 ;_ -JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
Z007 JUN 25 PH 3: 55
06-25-2007
CHACON
09-14-2006
J-t -07-o-n~q
CUMBERLAND
585-58-7323
07113356
APPEAL DATE: 08-24-2007
(See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
BERNARDIT M
CLERK OF
STELLA C KULPORF'HAN'S COURT
IJEC'l' :'I'T' r"n PA
256 N LOCUST PcG\Jry~-D' ":~. .
MECHANICSBURG PA 17050
TO:
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 06-25-2007
ESTATE OF CHACON
BERNARDIT M DATE OF DEATH 09-14-2006
COUNTY
CUMBERLAND
FILE NO. S.S/D.C. NO. 585-58-7323
TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
07113356
FINANCIAL INSTITUTION: COMMERCE BANK
ACCOUNT NO.
536165640
TYPE OF ACCOUNT:
DATE ESTABLISHED
()SAVINGS ~) CHECKING ()TRUST ()TIME CERTIFICATE
10-04-2002
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
530.07
0.500
265.04
5,247.25
.00
.15
.00
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."
X
TAX CREDITS:
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 .00
* 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. )
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