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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
" : , ; ;I' NonCE OF INHERITANCE TAX
, 'Af'PRAISEi4ENT, ALLOWANCE OR DISALLOWANCE
O~ DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
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BARBARA J HOFF MflJVf : ~-" ("J r ,\
85 FREDERICK PL ~I,"
MOUNT VERNON NY 10552
DATE 09-11-2007
ESTATE OF CRUMLEY ROSE F
DATE OF DEATH 11-12-2006
FILE NUMBER 21 07-0750
COUNTY CUMBERLAND
SSN/DC 057-05-6057
ACN 07123120
APPEAL DATE: 11-10-2007
(See reverse side under Objections)
A.ount Re.ltted\ 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 4--
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 09-11-2007
ESTATE OF CRUMLEY
ROSE
F DATE OF DEATH 11-12-2006
COUNTY
CUMBERLAND
ACN
07123120
FILE NO. 21 07-0750
TAX RETURN WAS:
S.S/D.C. NO. 057-05-6057
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK
ACCOUNT NO.
5004894024
TYPE OF ACCOUNT:
DATE ESTABLISHED
()SAVINGS ex) CHECKING (HRUST (HIME CERTIFICATE
08-22-2006
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
42,059.94
0.500
21,029.97
.00
21,029.97
.45
946.35
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
x
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
08-06-2007 CD008516 .00 946.35
TOTAL TAX CREDIT 946.35
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00 /~ J
" IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. " l-tJ
( 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. )