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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOHCE . OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS. AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
I !~:"": in DATE 01-14-2008
I i i"l I I; l v
ESTATE OF KISNER CHARLES E
DATE OF DEATH 08-18-2007
FILE NUMBER 21 07-0791
1'--'--:- COUNTY CUMBERLAND
SSN/DC 160-16-2298
ACN 07147592
APPEAL DATE: 03-14-2008
(See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
SUSAN L STUART
202 N FRONT ST
WORMLEYSBURG PA 17043
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 01-14-2008
ESTATE OF KISNER
CHARLES
E DATE OF DEATH 08-18-2007
COUNTY
CUMBERLAND
FILE NO. 21 07-0791
TAX RETURN WAS:
S.S/D.C. NO. 160-16-2298
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: BELCO COMMUNITY CU
TYPE OF ACCOUNT:
DATE ESTABLISHED
ACN
07147592
ACCOUNT NO.
766518
~ JSAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
08-29-2001
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
5,879.79
0.500
2,939.90
.00
2,939.90
.45
132.30
X
X
TAX CREDITS:
PAYMENT
DATE
11-07-2007
RECEIPT
NUMBER
CD008931
DISCOUNT (+)
INTEREST/PEN PAID (-)
6.62
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
125.69
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. )
132.31
.01CR
.00
.01CR
~