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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
r:t(Jrnr.:n rr:C!f~n~E OF INHERITANCE TAX
,~,~-,:,: ':::4p~t.Ai'sHENT. ALLOWANCE OR DISALLOWANCE
I';=~,:: 1~9"'rl.,ilDUCnONS AND ASSESSMENT OF TAX
*'
DATE 03-05-2007
ESTATE OF RAFFENSPERGER THOMAS D
DATE OF DEATH 12-28-2005
FILE NUMBER 21 06-0515
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 05-04-2007
( See reverse side "lIder ObjectioltS )
A.ount Re.lttedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE, PA 17013
CUT ALON& THIS LINE .... RETAIN LOWER PORTION FOR YOUR RECORDS +-
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REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF RAFFENSPERGER THOMAS. D FILE NO. 21 06-0515 ACN 101 DATE 03-05-2007
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280'01
HARRISBURG PA 17128-0'01
2007 MAR '4 AM 8: 2 ,
NATHAN C WOLF
WOLF & WOLF
10 W HIGH ST
CARLISLE
CLERK OF
ORDH' '~l\,l'S (\(11 'RT
. I ,1rt; t, ......lV\)( I
cur\'p"':" :-', ('n, R\
PA 17013
REV-1547 EX AFP (0'-05)
TAX RETURN WAS: (X) ACCEPTED AS FILED
( ) CHANIilED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN lASED 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)
a. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/AdM. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/GovernMental Bequests I Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
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 ~ returns assessed to date.
ASSESSMENT OF TAX:
15. AMount of Line 14
16. A.ount of Line 14
17. AMount of Line 14
la. A.ount of Line 14
19. Principal Tax Due
NOTE:
at Spousal
taxable at
at Sibling
taxable at
rate
Lineal/Class A rate
rate
Collateral/Class B rate
+
INTEREST/PEN PAID (-)
DATE
NUMBER
(1) .00
(2) 5.107.00
(3) .00
(4) .00
(5) 3.439.00
(6) .00
(7) .00
(a)
NOTE: To insure proper
credit to your account.
sub_it the upper portion
of this for. with YOUr
tax paYMent.
8,546.00
(9)
UO)
10,909.00
798.00
(11)
(2)
(3)
(4)
11.707aOO
3,161.00-
.00
3,161.00-
(5)
(16)
(7)
(18)
.00 X 00 - .00
.00 X 045 _ .00
.00 X 12 . .00
.00 X 15 . .00
(9)- .00
AMOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
.00
.00
.00
* IF PAID AFTER DATE INDICATED. 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" (CR). YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) 1ljO