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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
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)
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DATE 09-28-2007
ESTATE OF EHRHART E L
DATE OF DEATH 09-26-2006
FILE NUMBER 21 06-1149
COUNTY CUMBERLAND
SSN/DC 182-16-6858
ACN 07000471
APPEAL DATE: 11-27-2007
(See reverse side under Objections)
Amount Remitted I ~
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
SANDRA TOBIAS
715 FIFTEENTH ST
NEW CUMBERLAND PA 17070
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 09-28-2007
ESTATE OF EHRHART
E
L DATE OF DEATH 09-26-2006
COUNTY
CUMBERLAND
FILE NO. 21 06-1149
TAX RETURN WAS:
S.S/D.C. NO. 182-16-6858
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
07000471
FINANCIAL INSTITUTION: REALESTATE CUMBERLAND CO
ACCOUNT NO.
000
TYPE OF ACCOUNT:
DATE ESTABLISHED
()SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
01-30-2000
x
136,090.00
0.500
68,045.00
.00
68,045.00
.45
3,062.03
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."
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
12-26-2006 CD007611 141.78 2,693.80
INTEREST IS CHARGED THROUGH 10-06-2007 TOTAL TAX CREDIT 2,835.58
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 226.45
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 5.06
TOTAL DUE 231. 51 ~
* 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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