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Home My WebLink About10-17-06 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT BLAIR NORA F 5440 JONESTOWN RD HARRISBURG, PA 17112 -------- fold ESTATE INFORMATION: SSN: 190-54-2727 FILE NUMBER: 2105-0003 DECEDENT NAME: FOOR DANIEL T DA TE OF PAYMENT: 10/17/2006 POSTMARK DATE: 10/1 6/2006 COUNTY: CUMBERLAND DATE OF DEATH: 12/13/2004 NO. CD 007315 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $.08 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK#1034 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $.08 GLENDA FARNER STRASBAUGH REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT BLAIR NORA F 5440 JONESTOWN RD HARRISBURG, PA 17112 -------- fold ESTATE INFORMATION: SSN: 190-54-2727 FILE NUMBER: 2105-0003 DECEDENT NAME: FOOR DANIEL T DA TE OF PAYMENT: 10/17/2006 POSTMARK DATE: 10/16/2006 COUNTY: CUMBERLAND DA TE OF DEATH: 12/13/2004 NO. CD 007312 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $332.00 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK#1034 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $332.00 GLENDA FARNER STRASBAUGH REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL T~a;ORDE.D OFF.IC&~AIS~ NO~ICE :~l:~~T::~I~:~lOWANCE IIltlERITANCE TAX DIVISIDH;[I\iC--'-'l '. ill . :'OF DE AND ASS~SSHENT OF TAX PO BOX zal601 -1'_,,)\.; :r-; :'1'1 i 'O' .1.. : HARRISBURG PA 171ZlI-0611 -" RC(" ,_ , IL ~ 20D6 OCT' 7 Mill: 58 DATE 10-09-2006 2006 DC . ::~:T:~LTH ~~~~3-2004 FILE NUMBER 21 05-0003 CObNTY CUMBERLAND AC" .'m 101 p~PPEAL DATE: 12-08-2006 (See reverse side under ObJections) AIIount R_itted 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 4- RiY:ii4i-ix-A;P-ioi:oii-NOTici-o;-iNHiRiTANCi-TAX-APPiAiiEMENT:-ALLOWANCE-Di--------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DAMIEL T FILE NO. 21 05-0003 ACN 101 CLFi""'K' ('C . ......J1J ). OR!JI.J./ f,j':,' (-'nLiRT J :,-\: "~'~) \,.! '~j ; \ I MORA F BLAliJ'\.. pj~ 5440 JOMESTOWN RD PO BOX 6216 HBG C ORP/- CUMBf PA 17112 ESTATE OF FOOR TAX RETURN "AS: (X) ACCEPTED AS FILED ( ) CHAN8ED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN lASED ON: ORIGINAL RETURN 1. ...1 Estate (Schedule A) 2. stocks and Bonds (Schedule B) 3. Closely Held stock/Partnership Interest (Schedule C) 4. ItortgagaslNotes Racaivable (Schedule D) 5. C8sh/Bank Daposits/tlisc. Personal Property (Schedule E) 6. .Jointly Owned Property (Schedule F) 7. Transfers (Schedule Q) 8. Total Assets (1) (2) (3) (4) (5) , (6) (7) 204,908.00 .00 .00 .00 2.890.37 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Fwwral Expenses/A.. Costs/tlisc. Expenses (Schedule H) 10. Dabts/Itortgllgll Lillbil1 ties/Liens (Schedule I) 11. Tot.l Deductions 12. Net Value of Tax Return 13. Charitllble/Govern.ental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Est.te Subject to Tax I~ an assess.ent was issued previouslYI lines 141 15 and/or 161 171 18 and reflect ~igures that include1the total of ~ returns assessed to date. ASSESSMENT OF TAX: 15. AIIount of Line 14 at Spousal rate (15) 16. AIIount of line 14 taxable at lineal/Class A rate (16) 17. A.ount of line 14 at Sibling rat. (17) 18. A.ount of line 14 taxable .t Collateral/Class B rate (18) 19. Principal Tax Due NOTE: . . + INTEREST/PEN PAID (-) .00 DATE 08-22-2006 NUttBER CD007140 BALANCE OF UNPAID INTEREST/PENALTY AS -OF 08-23-2006 ;(1 ' 111-- en f /.-- {, It- ; {J)L! · IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. 7,549.75 163.265.50 (11) (12) (13) (14) (9) (10) .00 X .00 X .00 X 36,983.12 X 00 = 045 = 12 = 15 = '* REV-1S47 EX AFP (06-15) DANIEL T (19)= AI10UNT PAID 5,547.47 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE DATE 10-09-2006 NOTE: To insure proper credit to your eccount, subIIi t the upper portion of this fora with your tax P8~t. 207,798.37 170.81!i 2!i 36,983.12 .00 36,983.12 19 will .00 .00 .00 5,547.47 5,547.47 5,547.47 .00 332.08 332.08 ( IF TOTAL DUE IS lESS THAN $1, NO PAY"ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) 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