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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
';"J\')"'n', ,^,",I1lQUCE OF INHERITANCE TAX
',~p.pR.-J[Sfu.tEN'r,' ALLOWANCE OR DISALLOWANCE
,OF. D~OUCTIONS, AND ASSESSMENT OF TAX ON
. '- , '~ JOtNTLY HELD OR TRUST ASSETS
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SHIREMANSTOWN PA 17011
DATE 08-13-2007
ESTATE OF MONTIJO FLORENCE S
DATE OF DEATH 05-03-2007
FILE NUMBER 21 07-0643
COUNTY CUMBERLAND
SSN/DC 183-16-9805
ACN 07127703
APPEAL DATE: 10-12-2007
(See reverse side under Objections)
A.ount 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 08-13-2007
ESTATE OF MONTIJO
FLORENCE S DATE OF DEATH 05-03-2007
COUNTY
CUMBERLAND
ACN
07127703
FILE NO. 21 07-0643
TAX RETURN WAS:
S.S/D.C. NO. 183-16-9805
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PSECU
ACCOUNT NO.
0183169805
TYPE OF ACCOUNT:
DATE ESTABLISHED
()SAVINGS () CHECKING ()TRUST ~ )TIME CERTIFICATE
09-22-1999
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
16,556.14
0.500
8,278.07
1,801.68
6,476.39
.45
291 .44
x
x
TAX CREDITS:
PAYMENT
DATE
07-09-2007
RECEIPT
NUMBER
CD008377
DISCOUNT (+)
INTEREST/PEN PAID (-)
14.57
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."
AMOUNT PAID
276.87
291.44
.00
.00
.00
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. )
.....