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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
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BUREAU OF INDIVIDUAL ~AXE~
INHERITANCE TAX DIVISION
PO BOX Z8D6D!
HARRISBURG PA 171ZS-0601
NOTICE OF INHERITANCE TAX
. : APPRAISEHENT, ALLOWANCE DR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSHENT OF TAX ON
JOINTLY HELD DR TRUST ASSETS
REV-1548 EX AFP (03-05)
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DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
07-04-2005
SPARKS
10-03-2004
")..\-~S -1.),\
CUMBERLAND
217-32-7961
05103241
AlIOunt RHi tt.d
SHERMAN
("
ADELE S BIRX
208 TEXACO RD
MECHANICSBURG
PA 17050
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 ~
1"'-:r.!'1ri!1:~~.1l5~1f1'....................................................................................
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 07-04-2005
ESTATE OF SPARKS
SHERMAN
DATE OF DEATH 10-03-2004
COUNTY
CUMBERLAND
FILE NO. S. S/D. C. NO. 217-32-7961
TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05103241
FINANCIAL INSTITUTION: WAYPOINT BANK
ACCOUNT NO.
3200006771
TYPE OF ACCOUNT: () SAVINGS ( ) CHECKING ( ) TRUST (lO TIME CERTIFICATE
DATE ESTABLISHED 02-16-1999
Account Balance
Percent Texable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
55,008.92
0.500
27,504.46
.00
27,504.46
.45
1,237.70
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."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
INTEREST IS CHARGED THROUGH 07-12-2005 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 1,237.70
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 1.53
TOTAL DUE 1,239.23
. If PAID AfTER THIS DATE, SEE REVERSE fOR CALCULATION OF ADDITIONAL INTEREST. .
IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
If TOTAL DUE IS REfLECTED AS A "CREDIT"' ( CRJ, YDU HAY BE DUE A REfUND.
SEE REVERSE SIDE Of THIS fOHN fOR INSTRUCTIONS. J
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