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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
- -
NOTICE OF 'INHERITANCE TAX
APPRAISEMENT. ALLOWANCE OR DISALLOWANCE
OF DEDUCTION~~ AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
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...., I I E'STATE OF
DATE OF DEATH
FILE NUMBER
,- :-:-:- COUNTY
~SN/DC
ACN
01-14-2008
BRUNGARD
12-02-2006
21 06-1147
CUMBERLAND
177-09-8483
07002815
APPEAL DATE: 03-14-2008
(See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
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KEITH KOLANDA
1605 LIZ BURNS PLACE
MECHANICSBURG PA 17055
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REV-1548 EX AFP (06-05)
FRANCES
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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 01-14-2008
ESTATE OF BRUNGARD
FRANCES
T DATE OF DEATH 12-02-2006
COUNTY
CUMBERLAND
FILE NO. 21 06-1147
TAX RETURN WAS:
S.S/D.C. NO. 177-09-8483
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SUN AMERICA LIFE INSURANCE
TYPE OF ACCOUNT:
DATE ESTABLISHED
ACN
07002815
ACCOUNT NO.
022579
()SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
12-02-2004
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
40,262.37
1.000
40,262.37
.00
40,262.37
.15
6,039.36
X
X
TAX CREDITS:
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT (+)
INTEREST/PEN PAID (-)
INTEREST IS CHARGED THROUGH 01-22-2008
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
6,039.36
184.22
6,223.58
C--b