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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
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BUREAU OF INDIVIDUAL
INHERITANCE TAX DIVISION
PO BOX 2B0601
HARRISBURG PA 17128-0601
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TAXES' 'i. ""'-_! \f ";'J:: \.J!iOTICE OF INHERITANCE TAX
. ,r'~~".IIl"IrSEMENT, ALLOWANCE OR DISALLOWANCE
: "/OF""~CTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
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4: 21
DATE 08-06-2007
ESTATE OF RAGER CAMREN M
DATE OF DEATH 07-30-2006
FILE NUMBER 21 06-0997
COUNTY CUMBERLAND
SSN/DC 201-78-5492
ACN 06152647
APPEAL DATE: 10-05-2007
(See reverse side under Objections)
A.aunt Re.1ttedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
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TAMMY A RA~T':", CJ" m
C/O DAVID RAGER
2331 MARKET ST
CAMP HILL PA 17011
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 08-06-2007
ESTATE OF RAGER
CAMREN
M DATE OF DEATH 07-30-2006
COUNTY
CUMBERLAND
FILE NO. 21 06-0997
TAX RETURN WAS:
S.S/D.C. NO. 201-78-5492
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
06152647
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
202905-41
TYPE OF ACCOUNT:
DATE ESTABLISHED
()SAVINGS () CHECKING (>TRUST OC )T1ME CERTIFICATE
03-05-2004
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
.00
0.500
.00
.00
.00
.45
.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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