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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NorICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
:'! ~' F,; I'): 29 DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
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PATRICIA PETERSON Ll
2 ASH DR
MECHANICSBURG PA 17055
REV-1548 EX AFP (06-05)
11-12-2007
MILLER
08-22-2007
21 07-0831
CUMBERLAND
187-16-4395
07141340
APPEAL DATE: 01-11-2008
(See reverse side under Objections)
A.ount Re.ltted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
KATHRYN
E
TO:
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 11-12-2007
ESTATE OF MILLER
KATHRYN
E DATE OF DEATH 08-22-2007
CUMBERLAND
FILE NO. 21 07-0831
TAX RETURN WAS:
COUNTY
S.S/D.C. NO. 187-16-4395
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACN
07141340
ACCOUNT NO.
239804-51
TYPE OF ACCOUNT: ()SAVINGS () CHECKING (>TRUST OC )TIME CERTIFICATE
DATE ESTABLISHED 09-27-2006
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 tl, 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 Amount
Tax Rate
Tax Due
X
30,920.73
1. 000
30,920.73
.00
30,920.73
.45
1,391.43
x
TAX CREDITS:
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT (+)
INTEREST/PEN PAID (-)
PAYMENT MUST BE MADE BY 05-23-2008*.
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
1,391. 43
.00
1,391.43
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