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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
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BUREAU OF INDIVIINlM.\.)]lIlIESJ U' I I C '~I NOTICE OF INHERITANCE TAX
INtERITAIICE TAX DIVISI~"c'r'- c' APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601:-' +,',-, - ex': ' OF DEDUCTIONS", AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 .JOINTLY HELD OR TRUST ASSETS
*'
REV-1548 EX AFP (06-05)
2UU5 ~.UG 19 PHI2: 32
DATE 08-22-2005
ESTATE OF WORLEY MARION
DATE OF DEATH 11-09-2004
FILE NUMBER ':l."-~S - '\ 5 IJ
COUNTY CUMBERLAND
SSN/DC 196-14-3904
ACN 05114676
APPEAL DATE: 10-21-2005
(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
DIANNA CUk'MCNEW
9477 OLDE SCOTLAND RD
SHIPPENSBURG PA 17257
CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS _
REY=i54S-EX-AFP-lo3=05i--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 08-22-2005
ESTATE OF WORLEY
MARION
DATE OF DEATH 11-09-2004
COUNTY
CUMBERLAND
FILE NO. S.S/D.C. NO. 196-14-3904
TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05114676
FINANCIAL INSTITUTION: ORRSTOWN BANK
ACCOUNT NO.
651346
TYPE OF ACCOUNT: ()SAVINGS ()() CHECKING (>TRUST (>TIME CERTIFICATE
DATE ESTABLISHED 04-22-1991
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
1,779.01
0.500
889.51
2,918.46
.00
.45
.00
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 (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATIDH OF ADDITIONAL INTEREST. .
IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT"' ( CRl, YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIDHS. l
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