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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-1548 oX AFP (06-05)
DATE
ESTATE OF
06-18-2007
LOVELL
JOHt-1
G
DUANE LOVELL
2490 ENTERPRISE
OSTEEN FL 32764
DATE OF DEATH 03-10-2007
FILE NUMBER 21 07-0297
COUNTY CUMBERLAND
SSN/DC 182-14-1408
ACN 07116374
APPEAL DATE: 08-17-2007
(See reverse side under Objections)
Amount Remitted 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 +-
REv:i548-EX-AFP-(o!~:o55--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, J~ND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 06-18-2007
ESTATE OF LOVELL
JOHN
G DATE OF DEATH 03-10-2007
COUNTY
CUMBERLAND
FILE NO. 21 07-0297 S.S/D.C. NO. 182-14-1408
TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
07116374
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
169519-11
TYPE OF ACCOUNT:
DATE ESTABLISHED
()SAVINGS ~) CHECKING ()TRUST ()TIME CERTIFICATE
07-10-1997
X
10,212.88
0.500
5,106.44
.00
5,106.44
.45
229.79
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
DATE
05-15-2007
RECEIPT
NUMBER
CD008185
DISCOUNT (+)
INTEREST/PEN PAID (-)
11.49
AMOUNT PAID
229.79
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
* 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 REI'LECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
;~41. 28
11. 49CR
.00
11.49CR
I' }
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