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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
BUREAU OF INDIVIDUAL TAXES,
INHERITANCE TAX DIVISION
PO BOX 2B0601
HARRISBURG PA 17128-0601
-n.'-- NOTICE OF INHERITANCE TAX
, - ~PP.It..A:tSEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
. JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
2001 OCT \ 2 Pf~ 12: ! I
DATE 10-16-2007
ESTATE OF GROGAN KAY M
DATE OF DEATH 10-07-2006
FILE NUMBER 21 06-0939
COUNTY CUMBERLAND
SSN/DC 210-40-1837
ACN 06157515
APPEAL DATE: 12-15-2007
(See re1lerse side under Objections)
A.ount Re.1tted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
KEITH A GROG~nj
13430 CATAPUL T ~VE"
BRISTOW VA 20136
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REY=i54i-Ex-AFP-co3=o55--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 10-16-2007
ESTATE OF GROGAN
KAY
M DATE OF DEATH 10-07-2006
COUNTY
CUMBERLAND
FILE NO. 21 06-0939
TAX RETURN WAS:
S.S/D.C. NO. 210-40-1837
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
06157515
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
103978-00
TYPE OF ACCOUNT:
DATE ESTABLISHED
~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
08-18-1988
x
961 .72
0.500
480.86
.00
480.86
.45
21. 64
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
DATE
RECEIPT
NUMBER
DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
INTEREST IS CHARGED THROUGH 10-24-2007
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
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. )
.00
21.64
.52
22.16