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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
G,..r'''i~-'':'I"'. !~.-#q:t,~;.. ,QF INHERITANCE TAX
. ..:...."M:IJ'.RA:I$E'*~,lfTt.;ALLOWANCE OR DISALLOWANCE
r:... ,OF DIlDUOTEOI'tS, AND ASSESSMENT OF TAX ON
. -JOINTL~ HELD OR TRUST ASSETS
'*
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2B0601
HARRISBURG PA 17128-0601
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PA 17402
REV-1548 EX AFP (06-05)
DATE 09-03-2007
ESTATE OF STROUS ROBERT P
DATE OF DEATH 02-18-2007
FILE NUMBER 21 07-0176
COUNTY CUMBERLAND
SSN/DC 183-22-0899
ACN 07120168
APPEAL DATE: 11-02-2007
(See reverse side under Objections)
A.aunt Re.ltted 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=i54S-EX-AFP-C03=055--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 09-03-2007
ESTATE OF STROUS
ROBERT
P DATE OF DEATH 02-18-2007
COUNTY
CUMBERLAND
FILE NO. 21 07-0176
TAX RETURN WAS:
S.S/D.C. NO. 183-22-0899
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: CITIZENS BANK OF PA
TYPE OF ACCOUNT:
DATE ESTABLISHED
ACN
07120168
ACCOUNT NO.
6100699072
()SAVINGS OC) CHECKING (HRUST (HIME CERTIFICATE
11-22-1971
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
26,171.15
0.500
13,085.58
.00
13,085.58
.15
1,962.84
X
x
TAX CREDITS:
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT (+)
INTEREST/PEN PAID (-)
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
PAYMENT MUST BE MADE BY 11-19-2007*. 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. )
.00
1,962.84
.00
1,962.84
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