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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
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BUREAU OF INDIVIDU~:::I'~XiW'.::
INHERITANCE TAX OIVISION \ C', ' " ,',
PO BOX 280&01, , ,
HARRISBURG PA 1712B-0601 '",.
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NOTICE OF INHERITANCE TAX
,APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-154B EX AFP (06-05)
PH \2: 52
LGGl SEP 2 \
DATE 09-24-2007
ESTATE OF SHUGHART SHIRLEY M
DATE OF DEATH 09-25-2006
FILE NUMBER 21 06-0985
COUNTY CUMBERLAND
SSN/DC 194-28-9755
ACN 06154055
APPEAL DATE: 11-23-2007
(See reverse side under Objections)
A.ount Re.1ttedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
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119 STONEHO~ ~' RD
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 09-24-2007
ESTATE OF SHUGHART
SHIRLEY
M DATE OF DEATH 09-25-2006
COUNTY
CUMBERLAND
FILE NO. 21 06-0985
TAX RETURN WAS:
S.S/D.C. NO. 194-28-9755
(X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
06154055
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
156101-00
TYPE OF ACCOUNT:
DATE ESTABLISHED
~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
01-11-1996
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
768.13
0.500
384.07
.00
384.07
.45
17.28
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
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
11-07-2006 CD007401 .86 16.42
TOTAL TAX CREDIT 17.28
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* 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. )
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