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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
Cr:('flRi'r-r @iifkS~ (g~ INHERITANCE TAX
~:~\~~Yili~~E,~:r".' ~LLOWANCE OR DISALLOWANCE
i c'.:lf/!t. iffiucn tmis'. ' AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2B0601
HARRISBURG PA 1712B-0601
2001 JUN 29 PH I: I 4
CHRISTINE A SMITH
930 GOBIN ST
CARLISLE
CLERK OF
ORPHAN'S COURT
l H~ ~~! " I~'. ('r'< D^
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PA 17013
'*
REV-1548 EX AFP (06-05)
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
07-02-2007
GOODHART
02-19-2006
21 06-0279
CUMBERLAND
177-16-0070
07001009
APPEAL DATE: 08-31-2007
(See reverse side under Objections)
A.ount Re.1ttedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
ARTHUR
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 07-02-2007
ESTATE OF GOODHART
ARTHUR
DATE OF DEATH 02-19-2006
FILE NO. 21 06-0279
TAX RETURN WAS:
COUNTY
CUMBERLAND
S.S/D.C. NO. 177-16-0070
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ALLSTATE LIFE INS CO
TYPE OF ACCOUNT:
DATE ESTABLISHED
ACN
07001009
ACCOUNT NO.
GA0829728
()SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
02-19-2006
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
175,209.94
0.050
8,760.50
.00
8,760.50
.45
394.22
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 RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
INTEREST IS CHARGED THROUGH 07-10-2007 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 394.22
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 19.67
TOTAL DUE 413.89
* 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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