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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2B0601
HARRISBURG PA 1712B-0601
N~TICE OF INHERITANCE TAX
APPRAI'SEMENT. ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
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MARCIA
233 ACRE DR
CARLISLE
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PA 17013
REV-15~B EX AFP {06-05J
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
03-10-2008
CHEPONIS
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CUMBERLAND
187-03-2903
07116375
APPEAL DATE: 05-09-2008
(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
EUGENIA
TO:
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 03-10-2008
ESTATE OF CHEPONIS
EUGENIA
COUNTY
CUMBERLAND
DATE OF DEATH 03-09-2007
FILE NO. S.S/D.C. NO. 187-03-2903
TAX RETURN WAS: eX) ACCEPTED AS FILED e) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
TYPE OF ACCOUNT:
DATE ESTABLISHED
ACN
07116375
ACCOUNT NO.
206065-11
e )SAVINGS ~) CHECKING e )TRUST e )TIME CERTIFICATE
06-12-2001
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
4,840.32
0.500
2,420.16
.00
2,420.16
.45
108.91
X
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 e+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID e-)
INTEREST IS CHARGED THROUGH 03-18-2008 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 108.91
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 2.16 ~
TOTAL DUE 111. 07
" IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. "
{ IF TOT L DU IS L SS THA $1 P T
A E EN, NO AYMEN IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" { CRJ, YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J