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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
r::A)f~"$~~~),p~Ci6wANCE DR DISALLOWANCE
' Elf:neblicTIONS,. "AND ASSESSHENT OF TAX ON
JOINTlY HelD. DR TRUST ASSETS
REV-1548 EX AFP (06-05)
2nn~1 J ('. ~'. -.7
DATE 10-10-2005
Fii I: 2lESTATE OF ElLIOTT ROSALIE V
- DATE OF DEATH 05-08-2005
FILE NUMBER 21 05-0784
COUNTY CUMBERLAND
SSN/DC 163-32-0700
ACN 05136596
APPEAL DATE: 12-09-2005
(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
KEVIN L GOSHORN
6319 BASEHORE RD
MECHANICSBURG PA 17055
CUT ALONG THIS LINE -to RETAIN LOWER PORTION FOR YOUR RECORDS +-
REY=is4S-EX-AFP-roi=osj---------------------------_________________________________________
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 10-10-2005
ESTATE OF ELLIOTT
ROSALIE
V DATE OF DEATH 05-08-2005
COUNTY
CUMBERLAND
FILE NO. 21 05-0784
TAX RETURN WAS:
S.S/D.C. NO. 163-32-0700
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05136596
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO.
165514-00
TYPE OF ACCOUNT: ~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 01-31-1997
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
438.55
0.500
219.28
.00
219.28
.15
32.89
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 (-)
08-30-2005 CD005748 .00 32.89
TOTAL TAX CREDIT 32.89
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
· 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, YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. J
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