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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
HOtI~fbF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
qF DEDUCTJONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
"'"rn S::-p' _"7 1M II: 25 DATE
Llju f '.... I \ ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2B0601
HARRISBURG PA 1712B-0601
MADISON A WAGNER
13 HOMESTEAD LN
CAMP HIll
CLEC'I( (iF
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PA 17011
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REV-154B EX AFP (06-05)
09-11-2007
POWEll
08-12-2006
21 06-0730
CUMBERLAND
174-20-6085
06152636
APPEAL DATE: 11-10-2007
(See reverse side under Objections)
A.ount Re.1ttedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
JEAN
D
TO:
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +-
REY=is4S-EX-AFP-C03=OSj------------------------____________________________________________
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 POWELL
JEAN
D DATE OF DEATH 08-12-2006
S.S/D.C. NO. 174-20-6085
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FILE NO. 21 06-0730
TAX RETURN WAS:
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
COUNTY
CUMBERLAND
ACN
06152636
ACCOUNT NO.
261573-46
TYPE OF ACCOUNT: ()SAVINGS () CHECKING C< >TRUST (>TIME CERTIFICATE
DATE ESTABLISHED 06-05-2006
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
5,007.52
1. 000
5,007.52
.00
5,007.52
.45
225.34
X
TAX CREDITS:
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."
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
INTEREST IS CHARGED THROUGH 09-19-2007 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 225.34
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 6.42
TOTAL DUE 231.76 lv,
II IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. II
( IF TOTAL DUE IS LESS THAN tl, 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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