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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRIS8URG PA 17128-0601
r- . NOTICE OF INHERITANCE TAX
,4i~R~fs(HE"NT, ALLOWANCE OR DISALLOWANCE
i OF OEDLJ~T'I ONS, AND ASSESSMENT OF TAX ON
I ., ,__, ,_ JOtN[LY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
2D07 JUl 30 Pi'! I: 22
CLEi-=ji< OF
ORPH/~.,!\r::' ('0! fR-r
BERNARD J MURRArUi --, Vj):, II
15 FARM HOUSE LN S~
CAMP HILL PA 17011
DATE 07-30-2007
ESTATE OF MURRAY M W
DATE OF DEATH 01-22-2007
FILE NUMBER 21 07-0610
COUNTY CUMBERLAND
SSN/DC 163-16-1090
ACN 07123154
APPEAL DATE: 09-28-2007
(See reverse side under Objections)
Amount Remitted I 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 ~
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 07-30-2007
ESTATE OF MURRAY
M
W DATE OF DEATH 01-22-2007
COUNTY
CUMBERLAND
ACN
07123154
FILE NO. 21 07-0610
TAX RETURN WAS:
S.S/D.C. NO. 163-16-1090
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: COMMERCE BANK
ACCOUNT NO.
536142714
TYPE OF ACCOUNT:
DATE ESTABLISHED
()SAVINGS ~) CHECKING ()TRUST ()TIME CERTIFICATE
11-20 -2002
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
6,106.45
0.500
3,053.23
.00
3,053.23
.45
137.40
x
x
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
DATE
RECEIPT
NUMBER
DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
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 REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. }
PAYMENT MUST BE MADE BY 10-23-2007*.
.00
137.40
.00
137.40
C/b