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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
,. ....NOJIj;E OF INHERITANCE TAX
APPRAIS~_"~Nr~~ ALLOWANCE OR DI SALLOWANCE
OFDEDUCHONS AND ASSESSMENT OF TAX
'*
DATE 03-26-2007
ESTATE OF CHRIST JESSIE I
DATE OF DEATH 08-04-2006
FILE NUMBER 21 06-0946
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 05-25-2007
( See reverse side under Objections)
Amount Re.ittedl 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 +--
REy:is47-Ex-AFP-C03:osj-NoTlcE-OF-INHERITANCE-TAX-APPRAISEHENT:-ALLOWANCE-OR---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF CHRIST JESSIE I FILE NO. 21 06-0946 ACN 101 DATE 03-26-2007
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
30
. 'I
' . ")'.'
I . c..o
JOHN R COX
317B 3RD ST
NEW CUMBERLAND
PA 17070
REV-1547 EX AFP (06-05)
TAX RETURN WAS: (X) ACCEPTED AS FILED
( ) CHANGED
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
(D
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
33,979.00
.00
44,000.00
(8)
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
77,979.00
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; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
(9)
(10)
5,299.00
.00
(11)
(12)
(13)
(14)
1'j.?99.DD
72,680.00
.00
72,680.00
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 Line 14 at Spousal rate (15) .00 X DO .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 72,680.00 X 045 = 3,271 .00
17. Amount of Line 14 at Sibling rate (17) .00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 = .00
19. Principal Tax Due (19)= 3,271.00
TAX CRI='DITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
01-02-2007 CD007628 .00 3,271.00
TOTAL TAX CREDIT 3,271.00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .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
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