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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO 80X 280601
HARRIS8URG PA 17128-0601
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HO"ltICE bF INHERITANCE TAX
APPRAISEMENT. ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
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ANITA PEOPLES
1496 UNION ST
COAL PORT
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PA 16627
REV-1548 EX AFP (06-05)
DATE 11-05-2007
ESTATE OF HAMMOND ANN L
DATE OF DEATH 09-08-2006
FILE NUMBER 21 06-0829
COUNTY CUMBERLAND
SSN/DC 019-14-1436
ACN 06159951
APPEAL DATE: 01-04-2008
(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
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS 4--
REY=is4i-EX-iFP-lo3=Os5--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 11-05-2007
ESTATE OF HAMMOND
ANN
L DATE OF DEATH 09-08-2006
COUNTY
CUMBERLAND
ACN
06159951
FILE NO. 21 06-0829
TAX RETURN WAS:
S.S/D.C. NO. 019-14-1436
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
22550-46
TYPE OF ACCOUNT:
DATE ESTABLISHED
()SAVINGS () CHECKING (>TRUST oc: )TIME CERTIFICATE
01-14-2004
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
. 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. }
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable A.ount
Tax Rate
Tax Due
10,770.78
0.166
1,795.17
.00
1,795.17
.45
80.78
x
x
TAX CREDITS:
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT (+)
INTEREST/PEN PAID (-)
INTEREST IS CHARGED THROUGH 11-13-2007
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
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."
AMOUNT PAID
.00
80.78
2.80
83.58
c. !
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