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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX OIVISION
PO BOX 280601
HARRISBURG PA 1712B-0601
1'=:=(\'1:"[:-) r',-;:!~~C€ OF INHERITANCE TAX
'I":' "'APJ'RAISeMEN.T, ALLOWANCE OR DISALLOWANCE
,OF ,DEDutnO)lS, AND ASSESSMENT OF TAX ON
"--'." JOINTLY HELD OR TRUST ASSETS
2007 DEe 21 Pr'l I: 03
JANET
168 LOCUST
DILLSBURG
CLERI<
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GROVE RD
PA 17019-9614
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REV-1548 EX AFP (06-05)
DATE 12-24-2007
ESTATE OF DOTTER HELEN C
DATE OF DEATH 09-09-2006
FILE NUMBER 21 06-0819
COUNTY CUMBERLAND
SSN/DC 112-05-4168
ACN 07103246
APPEAL DATE: 02-22-2008
(See reverse side under Objections)
A.aunt Remitted I 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 +--
REY=is48-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 12-24-2007
ESTATE OF DOTTER
HELEN
C DATE OF DEATH 09-09-2006
COUNTY
CUMBERLAND
ACN
07l 03246
FILE NO. 21 06-0819
TAX RETURN WAS:
S.S/D.C. NO. 112-05-4168
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: CITIZENS BANK OF PA
ACCOUNT NO.
6140221404
TYPE OF ACCOUNT:
DATE ESTABLISHED
~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
06-16-1997
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 Amount
Tax Rate
Tax Due
2,553.59
0.500
1,276.80
.00
1,276.80
.15
191.52
x
x
TAX CREDITS:
PAYMENT
DATE
RECEI PT
NUMBER
DISCOUNT (+)
INTEREST/PEN PAID (-)
INTEREST IS CHARGED THROUGH 01-01-2008
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
191.52
8.64
200.16
co