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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL ""'V~V"I'"'n-' r,'-r'\'V' ('1- NOTICE OF INHERITANCE TAX
1,..a__Of. '-j i "~i' " Al'P.RAISEMENT ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION '.,' ......... ,
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
Jr",
DATE 11-14-2005
ESTATE OF MIZDAIL EUGENE B
DATE OF DEATH 02-18-2005
FILE NUMBER 21 05-0883
COUNTY CUMBERLAND
SSN/DC 198-05-7427
ACN 05143140
APPEAL DATE: 01-13-2006
(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
?f"'S "r 1 I:, 1:: Q2
MARGARET M REAM
27 CREEK BANK DR
MECHANICSBURG PA 17055
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REY=is4S-EX-AFP-roi=osi--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 11-14-2005
ESTATE OF MIZDAIL
EUGENE
B DATE OF DEATH 02-18-2005
COUNTY
CUMBERLAND
FILE NO. 21 05-0883
TAX RETURN WAS:
S.S/D.C. NO. 198-05-7427
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05143140
FINANCIAL INSTITUTION: ORRSTOWN BANK
ACCOUNT NO.
711000296
TYPE OF ACCOUNT: ~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 08-04-2003
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
30,298.73
0.166
5,049.89
.00
5,049.89
.45
227.25
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."
X
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
10-04-2005 " CD005865 .00 227.25
TOTAL TAX CREDIT 227.25
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 PAYMENT 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
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