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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
;;:rf)q["\r=n (~'r~(F ,NonCE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES '_.J,.! "h. E',~ ,I,S ,E HENT ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX OIVISION - \'1', '
PO BOX 280601 i- '..9F' .PlJCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 1712B-0601 JOINTL Y HELD OR TRUST ASSETS
'*
REV-154B EX AFP (06-05)
PA 17013
DATE 07-02-2007
ESTATE OF PIPER GLADYS
DATE OF DEATH 11-14-2006
FILE NUMBER 21 07-0563
COUNTY CUMBERLAND
SSN/DC 186-09-6709
ACN 07108415
APPEAL DATE: 08-31-2007
(See reverse side under Objections)
A.ount Re.1tted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
2001 JUN 29 PH I: 16
JOYCE
24 BELLAIRE
CARLISLE
CLERK OF
ORPH.AN'S COURT
PIP~ It 'r,'--'[" ."(\ D'A
~ ..../: 'i ,-~ \ 1,.,\,./ , ;
AVE
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +-
REY=is4i-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 PIPER
GLADYS
DATE OF DEATH 11-14-2006
COUNTY
CUMBERLAND
FILE NO. 21 07-0563
TAX RETURN WAS:
S.S/D.C. NO. 186-09-6709
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
07108415
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
226901-11
TYPE OF ACCOUNT:
DATE ESTABLISHED
()SAVINGS OC) CHECKING ()TRUST ()TIME CERTIFICATE
02-13-2003
x
4,647.93
0.500
2,323.97
.00
2,323.97
.45
104.58
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 RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
PAYMENT MUST BE MADE BY 08-15-2007*. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 104.58
INTEREST AND PEN. .00
TOTAL DUE 104.58
* 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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