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HomeMy WebLinkAbout06-04-10BUREAU OF INDIVIDUAL TAXES "~.~ n~'I'~~iN41i~~~Q~ECE OF INHERITANCE TAX INHERITANCE TAX DIVISION '~~~~~~••~ T, ALLOWANCE OR DISALLOWANCE PO BOX 280601 '~"` ~~~ !~'I~ONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 ~~ ~ ; '1~TLY HELD OR TRUST ASSETS ':. HENRY H[1BA ,. 26 ANDES DR MECHANICSBURG PA 17055 pennlvana DEPARTMENT OF REVENUE REV-1548 EX AFP C12-09) DATE 06-08-2010 ESTATE OF HOBAUGH JEANNE M DATE OF DEATH 06-14-2009 FILE NUMBER'' 21 10-024? COUNTY CUMBERLAND SSN/DC 206-32-4170 ACN 09143347 APPEAL BY DATE:08-O7-2010 (' -ee re-~errBe side xndar 4bf ect~ons) A~ount Ra~i'~ted ~- --~ MAKE CHECK I~AYABLE AND REMIT PAYMENT T0: REGISTER OF,WILLS 1 COURTHOUSE SgUARE CARLISLE PA 17013 CUT ALONG THIS LINE ~"B RETAIN LOWER PORTION FOR YOUR'RECORDS ~" ---- ----- -------- ------------------------------------------------------------------- REV-1548 EX AFP C12-09) NOTICE OF IMNERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOYlANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR 'RUST ASSETS DATE: Ob-08-2.0.10 _~_ .~ ESTATE OF:HOBAUGH JEANNE M DATE OF DEATH:06-14-2009 COUNTY:CUMBERLAND FILE NO.: 21 10-0247 S.S/D.C. NO.: 20b-32-4170 ACN: 09143347 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET FINANCIAL INSTITUTION: PSECU TYPE OF ACCOUNT: CX?SAVINGS ( ) CHECKING C )TRUST DATE ESTABLISHED 06-01-1999 Account Balance Percent Taxable A~eount Subject to Tax Debts and Deductions Taxable Asount Tax Rate Tax Due 41,028.11 X 0.166 6,838.16 - .00 6,8.38.16 ~_ Y .045 307.72 TAX CREDITS: I NFORMIAT I ON ACC:OUI~T NO.: 860537331$ C )TIME CERTIFICATE NOTE: TO ENSURE 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 ORDfR PAYABLE T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID INTEREST IS CHARGED THROUGH 06-16-2010 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM TOTAL TAX 'PAYMENT .00 fALANCE OF TAX DUE 307.72 INTEREST AND PEN. 3.18 TOTAL DUE 310.90 * IF PAED AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CttEDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. BUREAU OF INDIVIDUAL TAXES ~~ ,~a ~~ ~ INHERITANCE TAX INHERITANCE TAX DIVISION „w:.,.~ ALLOWANCE OR DISALLOWANCE PO 80X 288601 ~~~~ C i AND ASSESSMENT OF TAX ON NARRIS81NL6 PA 17128-0601 JOINTLY ,.HELD OR TRUST ASSETs ~, . ~~ `~~ ANITA L CONNORS ~.. 346 VALLEY ST MARYSVILLE PA 17053 Pennsylvania DEPARTMENT OF REVENUE REV-1548 EX AFP C12-09) :DATE 06-08-2010 ESTATE OF HOBAUGH JEANNE M DATE OF DEATH 06-14-2009 FILE NUMBER 21 10-0247 COUNTY CUMBE'RtAND SSN/DC 206-32-4170 ACN 09143348 APPEAL BY DATE:08-07-2010 (See reverse side under Ob,~~cti~s) Amount Renitt®d ~ ~~ MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONC THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ------------------------------------------------------------------------------------------- REV-1548 EX AFP t12-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTY`ONS, ANH ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE s O b • 0, S ;~,,Q~,Q ESTATE OF:HOBAUGH JEANNE M DATE OF DEATH:06-14-2009 FILE NO.: 21 10-0247 S.S/D.C. NO.: 206-32-4170 COUNTY:CUMBERLAND ACN: 09143348 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PSECU ACCOUNT NO.:_~5373318 TYPE OF ACCOUNT: CXJSAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 06-01-1999 Account Balance Percent Taxable Amount Sub3ect to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 41,028.11 X 0.166 6,838.16 - .00 6_~_ Y .045 307.72 NOTE: TO ENSURE 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 T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID INTEREST IS CHARGED THROUGH 06-16-2010 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM TOTAL TAX PAYMENT .00 BALANCE. OF TAX DUE 307.72 INTEREST AND PEN. 3.18 TOTAL DUE 310.90 * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL. INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. C: " ;. penn~ylva~a ~~~~ BUREAU OF INDIVIDUAL TAXES ~-,", ~~ $~ ~ '. INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION l~~~r~,. ,~ L-LOWANCE OR DISALLOWANCE ~'1'"+~' ~ REV-1548 EX AFP C12-09) PO 8fD( 260601 ' ~11MD ASSESSMENT OF TAX ON HARRIS8tpt6 PA 17128-0601 JOINTLY HELb OR TRUST ASSETS tv~0 qf~ ,,,,,~ a~'~ ~~ DATE 06-08-2010 tv ~V ESTATE OF HOBAUGH JEANNE M HENRY HOBAUGH '~4 *» 26 ANDES DR MECHANICSBURG PA 17055 DATE OF DEATH 06-14-2009 FILE NUNBER 21 10-0247 COUNTY CUMBERLAND SSN/DC 206-32-4170 ACN 09143349 APPEAL BY DATEs08-O7-2010 (See reverse s~dde under Obfe~et~rus) Auaunt Rsufttsd MAKE CHECK PAYABLE AND REMIT PAYNENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE '~ RETAIN LOWER PORTION FOR YOUR RECORDS <"~ REV-1548 EX AFP C12-09) NOTICE OF IWNERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS. AND ASSESSMENT. OF tAX ON JOINTLY HELD OR CRUST ASSETS DATE: 06-08-2010 ESTATE OF:HOBAUGH JEANNE M DATE OF DEATH:06-14-2009 COUNTYsCUMBERLAND FILE NO.: 21 10-0247 S.S/D.C. NO.: 206-32-4170 ACN: 09143349 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMIATION FINANCIAL INSTITUTION: PSECU ACCOUNT NO.: 8605373318 TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 05-29-1999 Account Balance Percent Taxable Awount Subject to Tax Debts and Deductions Taxable Asount Tax Rate Tax Due TAX CREDITS: 4,812.94 -~-~- X 0~ 1_ 80.2.17 - .00 80`2.17 Y .~~~ 36.10 NOTE: TO ENSURE 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 T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUIfBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID INTEREST IS CHARGED THROUGH 06-16-2010 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM TOTAL TAX PAYMENT .00 BALANCE OF TAX D1JE 36.10 INTEREST AND P@N. .37 TOTAL DUE 36.47 * IF PAID AFTER THIS DATE, SEE REVERSE FOR CAi.CULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORK FOR INSTRUCTIONS. m~^ BUREAU DF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO 80)( 280661 HARRISBURG PA 17128-0601 i; ;r "'`~ ~ #~; ~~ Q~' INHERITANCE TAX ~' ~~•'~~~IEi1~.A1~.OWANCE OR DISALLOWANCE ~~ ~ ~ ~1ND ASSESSMENT OF TAX ON ~J~~`~T~°~L~LD OR TRUST ASSETS ANITA L CONNORS 34b VALLEY ST MARYSVILLE PA 17053 penn~ylvarria~ DEPARTMENT OF REVENUE REV-1548 EX AFP C12-09) DATE Ob-08-2010 ESTATE OF HOBAUGH JEANNE M DATE OF DEATH Ob-14-2009 FILE NUMHER 21 10-0247 COUNTY CUMBERLAND SSN/DC 20b-32-4170 ACN 09143350 APPEAL BY DATEs08-07-2010 (See reverse side nnrler ~f ect~ons) A~ount R•ritted r- MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SgUARE CARLISLE PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS t- REV-1548 EX AFP C12-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR ~ISALLOM~ANCE OF DEDUCTIONS, AND AS"SESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: Od_-08-20.10 ESTATE OF:HOBAUGH JEANNE M DATE OF DEATH:Ob-14-2004 FILE NO.: 21 10-0247 S, TAX RETURN WAS: CX) FINANCIAL INSTITUTION: PSECU _..r_ TYPE OF ACCOUNT: C )SAVINGS DATE ESTABLISHED 05-29-1999 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: COUNTY:CUMHERLAND .S/D.C. NO.: 20b-32-4170 ACN: 09143350 ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION ACCOUNIT NO.: 8b05373318 C ~ CHECKING C )TRUST C )TIME CERTIFICATE 4,812_ X 0.16b 802.17 - .00 802.17 Y . O_,_ 3b.10 NOTE: TO ENSURE 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 T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUNBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID INTEREST IS CHARGED THROUGH Ob-lb-2010 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE 3b.10 INTEREST AND PEN. .37 TOTAL DUE 3b.47 * IF PAID AFTER THIS DATE, SEE REVERSE FOR. CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CRHDIT" CGR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE Of THIS FORM FOR INSTRUCTIONS. ~~ ~~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO 80X 280601 HARRISBURG PA 17128-0601 .~~ INHERITANCE TAX ,•,' OWANCE OR DISALLOWANCE . ,. ~ ~ ~ ~0~1 ~~ ~ND ASSESSMENT OF TAX ON T il~"LD OR TRUST ASSETS pia ~~ -~ Ar+ ~ HENRY HOBAUGH 26 ANDES DR MECHANICSBURG PA 17055 p~nrr~ylvarria DEPARTMENT OF REVENUE REV-1548 EX AFP (12-09) DATE 06-08-2010 ESTATE OF HOBAUGH JEANNE M DATE OF DEATH 06-14-2009 FILE NUMBER 21 10-0247 COUNTY CUMBERLAND SSN/DC 206-32-4170 ACN 09143351 APPEAL BY DATEs08-07-2010 (See reverse side a_nder Objections) Anount Rsnitted r ~-~-~~~~ MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WELLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE "'~' RETAIN LOWER PORTION FOR YOUR RECORDS ~ REY-15~fis EX AFP C12-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISiALLOWANCE QF DEDUCTIONS, AND A~S'ESNl4ENT Of TAX ON JOINTLY HELD OR TRUST ASSETS ESTATE OF:HOBAUGH JEANNE M DATE OF DEATH:06-14-2009 COUNTY:CUNBERLAND FILE NO.: 21 10-0247 S.S/D.C. NO.: 206-32-4170 ACM: 09143351 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PSECU ACCOUNT NO.: 8605373318 TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 07-28-2003 Account Balance Percent Taxable Asount Subject to Tax Debts and Deductions Taxable Ad~ount Tax Rate Tax Due TAX CREDITS: 411.37 X 0.166 68.56 - .00 68.56 Y .045 3.09 NOTE: TO ENSURE 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 0!R MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID 06-01-2010 SBADJUST .00 3.12 TOTAL TAX PAYMENT 3.09 BALANCE OF TAX DUE .00 I NTEI~~ST AND PEN . . 0 0 TOTAL DUE . 0 0 * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REfLEC7ED AS A •'CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. penr~sy~var~ia "'x> ~ - ~ I OF INHERITANCE TAX DEPARTMENT OF REVENUE BUREAU OF INDLYIDUAL TAXES ~~~ ~- t ~ •, INFR:RITANCE TAX DIVISION ~, , ALLOMIANC~ nR DISALLOWANCE REV-1546 EX AFP C12-09) PO BOX 2'9601 ~ ~~ ` U , AND ASSESSMENT OF TAX ON NARRisduRG PA 17I2B-o6oi `.,~,..Y . - ~ JOINTLY HELD OR TRUST ASSETS ~~ ^~ ~ ~~: ~~ DATE F HOBAUGHOIO JEANNE M ESTATE 0 DATE OF DEATH 06-14-2009 FILE NUMBER 21 10-0247 COUNTY CUMBERLAND SSN/DC 206-32-4170 ANITA L CONNORS ~ ~~ '' ` ACN 09143352 346 VALLEY ST `'r ^~'~ APPEAL BY DATE:08-07-2010 MARYSVILLE PA 1T053~~ X ~~~ ~ ~ ~" (See reverses3deunderO~i}eclians) A~aunt R•~ttted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE '~'B RETAIN LOWER PORTION FOR YOUR RECORDS f"~ - - - - - - - - - - - s - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - REV-15ei1! EX AFP C12-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DLSALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 0.6-08-.2010. ~. ---.. ESTATE OF:HOBAUGH JEANNE M DATE OF DEATH:06-14.2009 COUNTY:CUMBERLAND FILE NO.: 21 10-0247 S.S/D.C. NO.: 206-32-4170 ACN: 09143352 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGiED FINANCIAL INSTITUTION: PSECU TYPE OF ACCOUNT: C~0 SAVINGS C ) CHECKING C )TRUST DATE ESTABLISHED 07-28-2003 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Asount Tax Rate Tax Due 411.37 X 0.16 68.56 - .00 68.56 Y .045 3.09 Tex racntrc. C )TIME CERTIFICATE NOTE: TO ENSURE 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 T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID 06-01-2010 SBADJUST .00 3.12 JOINT OR TRUST ASSET INFORMATION ACCOUNT NO.: 8.605373318 TOTAL TAX PAYMENT 3.09 BALANCE OF TAX DUE .00 INTERRST AND PEN. .00 TOTAL DUE .00 ~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REF4ECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. ~~__,~ SEE REVERSE SIDE OF THIS FORM FOR IMSTRUCTIONS. ~~ ` •v~-r,F ~~,a' BUREAU OF INDIVIDUAL TAXES ~'-+ 1 ~ ~ ~I INHERITANCE TAX DIVISION "..~'~ r ~ PO i0X 2iti01 `~~~~ HARRISiURC PA 17128-0601 ~t11s Jt~! -~+ p~ennsylvania ,f~l~ OF INHERITANCE TAX DEPARTMENT OF REVENUE ~ ~~~T, ALLOWANCE. QR DISALLOWANCE REV-1548 EX AFP C12-89) D x E'~NS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS a~'~~ ~~ DATE 06-08-2010 ~. HENRY HOBAUG a, 26 ANDES DR MECHANICSBURG PA 17055 ESTATE OF HOBAUGH JEANNE M DATE OF DEATH Ob-14-2009 FILE NUMBER 21 10-0247 COUNTY CUMBERLAND SSN/DC 206-32-4170 ACN 09143353 APPEAL'BY DATEa08-07-2010 (See reverse side Winder Qbf ect~o~es) Amount Rutted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONC THIS LINE '"1 RETAIN LOWER PORTION FOR YOUR RECORDS ~"~ REV-154e EX AFP C12-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS ._~~,_ 06-08-2O1Q ESTATE OF:HOBAUGH JEANNE M DATE OF DEATH:06-14-2009 FILE NO.: 21 10-0247 S.S/D.C. NO.: 206-32-4170 COUNTY:CUMBERLAND ACN: 09143353 TAX RETURN WAS: tX) ACCEPTED AS FILED C ) CHANGiED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PSECU ACCOUNT NO.: 8605373318 TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING t )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 12-28-2007 Account Balance Percent Taxable Aarount Subject to Tax Debts and Deductions Taxable Auount Tax Rate Tax Due TAX CREDITS: 28,551.42 ~_,_..,_ X 0.166 _ 4,758.67 - .00 ,4,758.67 Y .045 214.14 NOTE: TO ENSURE 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 T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID LIB I CKt, l ll LHAKCitU I FIK~UG11 06-16-2010 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE 214.14 INTEREST AND PEN. 2.21 TOTAL DUE 216.35 * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS., ~aJ ~` -.s ~•'`~'~`~ ''` ~ £ OF INHERITANCE TAX BUREAU OF INDIVIDUAL TAXES ~~^ "'""~''i"` '` INHERITANCE TAX DIVISION ~~~.~~~~~ ~ ::ALLOWANCE OR DISALLpWANCE PO i0)( Z~Of01 OF DEDUCTZONSt;:~AND ASSESSMENT OF TAX ON HARRISiUR6 PA 17128-0601 JOINTLY LD OR TRUST ASSETS ~i~ ~ pen~sylvar~ia DEPARTMENT OF REVENUE REV-1548 EX AFP C12-09) ~~~ w~ ~ DATE 06-08-2010 ;, ~, ANITA L CONNORS 346 VALLEY ST MARYSVILLE PA 17053 ESTATE OF HOBAUGH JEANNE M DATE Of DE~TN 06-14-2009 FILE NUNBEE 21 10-0247 COUNTY CUMBERLAND SSNlDC 206-32-4170 ACN 09143354 APPEAL BY DATE:08-07-2010 {See reverse side twirler ~ject~-ns) Amount Rea~tt•d ~- NAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUt~ RECORDS '~"~ REV-1gRa EX AFP C12-89) NOTICE OF IN~iERITANCf TAX APPRAISEMENT, ALLaWANCE OR,DLSALL0I~ANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR'TRUST ASSETS DATE: 06-08-2,fl10 --- ESTATE OF:HOBAUGH JEANNE FILE NO.: 21 10-0247 S.S/D.C. NO.: 206-32-4170 ACN: 09143354 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANCED JOINT OR TRUST ASSET INFORlNATIOW FINANCIAL INSTITUTION: PSECU ACCOUNT NO.: 6605373318 TYPE OF ACCOUNT: tX)SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 12-28.2007 Account Balance Percent Taxable Aaount Subject to Tax Debts and Deductions Taxable Aaount Tax Rate Tax Due rsY rQCnrrc. 28,551.42 X 0.166 4,758.67 _, - .00 - 4,758.67 Y .045 214 . 14 NOTE: TO ENSURE 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 T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUNDER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID INTEREST IS CHARGED THROUGH 06-16-2010 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM M DATE OF DEATH:OI-14+2009 COUNTY:CUMBERLAND TOTAL TAX PAYMENT .DO BALANCE OF TAX DUE 214.14 INTEREST AND PEN. 2.21 TOTAL DUE 216.35 * IF PAID AFTER THIS DATE, SEE. REVERSE FOR CALCULATION OF ADDITIONAL INT',EREST. ~ IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. ~~ SEE REVERSE 5IDE OF THIS FORM FOR INSTRUCTIONS.