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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2110601
HARRISBURG PA 171211-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT I ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS I AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
CAROL A FAHNESTOCK
1849 LISBURN RD
MECHANICSBURG PA 17055
REV-15411 EX AFP (06-05)
DATE 05-01-2006
ESTATE OF MARDIS JOHN E
DATE OF DEATH 02-03-2005
FILE NUMBER :l.I,O/? - IJ 383
COUNTY CUMBERLAND
SSN/DC . 204-16-7095
ACN 05122407
APPEAL DATE: 06-30-2006
(See reverse side under Objections)
Allaunt R_1tted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLEI PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS +-
iiO=is4i-ii-AFP-tOJ=osi--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 05-01-2006
ESTATE OF MARDIS
JOHN
COUNTY
CUMBERLAND
E DATE OF DEATH 02-03-2005
FILE NO. S.S/D.C. NO. 204-16-7095
TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FEDERAL CREDIT UN ACCOUNT NO.
ACN
05122407
100068-11
TYPE OF ACCOUNT: ()SAVINGS ~) CHECKING ()TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 02-04-1988
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
IF PAID AFTER THIS DATEI SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $11 NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT"" ( CRll YOU HAY BE DUE A REFlMD.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. l
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
11527.81
0.166
254.64
.00
254.64
.45
11.46
TAX CREDITS:
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT (+)
INTEREST/PEN PAID (-)
INTEREST IS CHARGED THROUGH 05-09-2006
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
.
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNTI 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 WILLSI ~ENT."
C) g
(".... 0""\
AMOUNT PAID
-,...
'.;
!",)
\D .00
11.46
.37
11.83
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