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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
D'-~i':"',C;'ir~', 1tQ;J:~~rOF,^.INHERITANCE TAX
.. '. " ''-'PPiR'AISs.MEFlItJtA!.l-^OWANCE OR DISALLOWANCE
'=Pf"itiED'U~TIONS. ;AND ASSESSMENT OF TAX ON
. ~'" '- JO'INTI:. 'Y' HELD OR TRUST ASSETS
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SHANE J RANGE
1007 CHARLES ST
MECHANICSBURG
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PA 17055
REV-1548 EX AFP (06-05)
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
12-17-2007
RANGE
07-27-2007
21 07-0985
CUMBERLAND
162-48-0958
07140161
APPEAL DATE: 02-15-2008
(See reverse side under Objections)
Amount Re.1tted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
STEPHANIE A
TO:
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS +-
REY=is4S-EX-AFP-coi=os5--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 12-17-2007
ESTATE OF RANGE
COUNTY
CUMBERLAND
STEPHANIE A DATE OF DEATH 07-27-2007
FILE NO. 21 07-0985
TAX RETURN WAS:
S.S/D.C. NO. 162-48-0958
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
TYPE OF ACCOUNT:
DATE ESTABLISHED
ACN
07140161
ACCOUNT NO.
204497-00
~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
04-26-2001
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
18,994.00
0.166
3,165.73
.00
3,165.73
.45
142.46
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 (-)
PAYMENT MUST BE MADE BY 04-28-2008*. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 142.46
INTEREST AND PEN. .00
TOTAL DUE 142.46
* 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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