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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2B0601
HARRISBURG PA 17128-0601
'-, - ,- "NO.T~E;; OF INHERITANCE TAX
APptiAISE~~T. 'i~-fCLl:fWANCE OR DISALLOWANCE
OF DEDlJt:TIONS". 'AND ASSESSMENT OF TAX ON
, JOINTLYHELD,OR TRUST ASSETS
.
DATE
12: I QESTATE OF
. DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
L"['ll (i(' -,. I? r'
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CRYSTAL KERNS CU,I i,-j;
1830 F HEISHMAN GRDN DR
CARLISLE PA 17013
rqr
REV-1548 EX AFP (06-05)
10-16-2007
ROBERTS
01-21-2007
IJ..-t ~ 0, - D 'J?-~
cUMBERLAND
184-03-2419
07111293
APPEAL DATE: 12-15-2007
(See reverse side under Objections)
A.ount Re.1ttedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
JOHN
R
TO:
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REY=is4i-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 10-16-2007
ESTATE OF ROBERTS
JOHN
R DATE OF DEATH 01-21-2007
COUNTY
CUMBERLAND
FILE NO. S.S/D.C. NO. 184-03-2419
TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
TYPE OF ACCOUNT:
DATE ESTABLISHED
ACN
07111293
ACCOUNT NO.
36012-46
()SAVINGS () CHECKING (>TRUST OC )TIME CERTIFICATE
04-06-2006
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
x
2,200.45
0.500
1,100.23
1,100.23
.00
.45
.00
x
TAX CREDITS:
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."
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT .00
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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