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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
r;-r,"'C::~~i',IttlT-Fj:.E-OF: ,INHERITANCE TAX
, . APPRAISE.MEWt/AI,I,OWANCE OR DISAI.I.OWANCE
I, OF DEDUCTIONS- AND ASSESSMENT OF TAX
*'
DATE 02-19-2007
ESTATE OF HOSTETTER RENA M
DATE OF DEATH 12-18-2005
FILE NUMBER 21 06-0427
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 04-20-2007
( See reverse side under Objections)
Amount Remittedl 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-
REV:is47-EX-AFP-C03:0Sj-NOTicE-OF-iNHERiTANCE-TAX-APPRAisEHENT:-ALLOWANCE-OR---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HOSTETTER RENA M FILE NO. 21 06-0427 ACN 101 DATE 02-19-2007
BUREAU OF INDIVIDUAl, TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 1712B-0601
'j"rJ '
IU" F!:"i) 23
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PH ,: 15
OP,:JH.0J' ,"
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MURREL R WALTERS III ~SQ
54 E MAIN ST
MECHANICSBURG PA 17055
REV-1547 EX AFP (06-05)
) CHANGED
T AX RETURN WAS: (X) ACCEPTED AS F I I.ED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage l.iabilities/l.iens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Het Value of Estate Subject to Tax
0)
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
122.859.68
.00
.00
(8)
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
122,859.68
(9)
(0)
1,574.00
.00
(11)
(2)
(3)
(4)
1.1;74 nn
121,285.68
.00
121,285.68
NOTE: If an assess.ent was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of All.. returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of l.ine 14 at Spousal rate (5) 121,285.68 X 00 .00
16. Amount of l.ine 14 taxable at l.ineal/Class A rate (6) .00 X 045 = .00
17. Amount of l.ine 14 at Sibling rate (7) .00 X 12 = .00
18. Amount of l.ine 14 taxable at Collateral/Class B rate (8) .00 X 15 = .00
19. Principal Tax Due (9)= .00
TAX CR"'DITS:
-PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CAI.CUI.ATION OF ADDITIONAl, INTEREST.
( IF TOTAl, DUE IS I.ESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAl, DUE IS REFI.ECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) ~~