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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
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
WILLIAM P IRVIN
512 ELDORADO DR
RED LION PA 17356
DATE . 04-17-2006
ESTATE OF HOOVER KAY F
DATE OF DEATH 08-12-2005
FILE NUMBER 21 05-0818
COUNTY CUMBERLAND
SSN/DC 195-32-1773
ACN 05152270
APPEAL DATE: 06-16-2006
(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
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REV=is4S-EX-AFP-COj=osj--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 04-17-2006
ESTATE OF HOOVER
KAY
F DATE OF DEATH 08-12-2005
COUNTY
CUMBERLAND
FILE NO. 21 05-0818
TAX RETURN WAS:
S.S/D.C. NO. 195-32-1773
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05152270
FINANCIAL INSTITUTION: CITIZENS BANK OF PA
ACCOUNT NO.
6100791823
TYPE OF ACCOUNT: ()SAVINGS ~) CHECKING ()TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 09-06-1988
x
1,992.68
0.500
996.34
.00
996.34
.45
44.84
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."
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
x
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
03-03-2006 CD006395 .00 44.84
TOTAL TAX CREDIT 44.84
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
II IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. II ~:
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
!~_ TQ!~~_~~E _!~_ R~~L~!-:!~D _~~~ A _::!:R~~!!::. L~~!.t. Y~U MAYBE DUE A REFUND.
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