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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX OIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
'APPRAISEMEN'TlALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
*
rDATE
Ze07 SEP -7 AFIII: 2~STATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
MICHAEL V WAGNER
13 HOMESTEAD LN
CAMP HILL
CI r:F~({ nr'-
....L- 11" '-
ORD'-J I, i\ 1"; ,'"'fii 1RT
if I ii'-"! \ '... \"n,:~ '"..: I .
""U! r:'---' , '" 0;\
V c::' '.'
PA 17011
.
REV-15~8 EX AFP (06-05)
09-11-2007
POWELL
08-12-2006
21 06-0730
CUMBERLAND
174-20-6085
06152640
APPEAL DATE: 11-10-2007
(See reverse side under Objections)
A.ount Re.1tted[ ]
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 +-
REV=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
TYPE OF ACCOUNT:
DATE ESTABLISHED
COUNTY
CUMBERLAND
ACN
06152640
ACCOUNT NO.
261569-43
()SAVINGS () CHECKING OC HRUST (HIME CERTIFICATE
03-16-2005
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 225.29
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 6.41
TOTAL DUE 231.111 .J
II IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. II """'7)
( 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.
ACcount Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
5,006.49
1. 000
5,006.49
.00
5,006.49
.45
225.29
X
TAX CREDITS:
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
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."