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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
':Mifi.~t$E"EttT . 'ALLOWANCE OR DISALLOWANCE
" O~ QEDUchoNS AND ASSESSMENT OF TAX
!. . , ..'
*
DATE D4-D9-2DD7
ESTATE OF MOYER RAYMOND R
DATE OF DEATH 12-20-2DD5
FILE NUMBER 21 D5-1116
COUNTY CUMBERLAND
ACN IDl
APPEAL DATE: 06-D8-20D7
( See reverse side "nder ObjectiollS )
A.ount Re.lttedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17D13
~~!_~~~~~_!~!~-~!~!_-----~--_!!!~!~-~~~!!_~~!!!~~-~~!-!~~!_!!~~!~!_-~--------------------
REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF MOYER RAYMOND R FILE NO. 21 05-1116 ACN IDl DATE D4-D9-2D07
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO lOX 210&01
HARRISIURG PA 17128-0601
2001 APR -9 A 1'1 II : 50
MURREL R WALTERS
54 E MAIN ST
MECHANICSBURG
CLERK OF
OR'pLi:\[\j'C" ('r1l !RT
I 1 II ~ J \J......o'\.) i \ I
III r>l,\>'r'i.' I" ("(", Dr'.
\...; ..Ii',":' : " 'r'\
PA 17055
REV-1547 EX AFP (06-05)
TAX RETURN WAS: (X) ACCEPTED AS F I LED
) CHAN6ED
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 Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/60vernmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
If an assess.ent was Issued previously, lines
reflect figures that Include the total of ~
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
NOTE:
+
INTEREST/PEN PAID (-)
.DO
DATE
D1-18-2007
NUMBER
CDDD7713
(1) 155,25D.00
(2) .00
(3) .00
(4) .00
(5) 19.676.77
(6) .00
(7) .00
(8)
NOTE: To insure proper
credit to your account.
submit the upper portion
of this form with your
tax payment.
174,926.77
(9)
(10)
9,779.DO
700.00
(11)
(12)
(13)
(14)
lO.ti7Q.on
164,447.77
.00
164,447.77
14, 15 and/or 16, 17, 18 and 19 will
returns assessed to date.
(15)
(U)
(17)
(18)
.00 X 00 .
164,447.77 X 045.
.00 X 12 .
.OD X 15 =
(19).
.OD
7,400.15
.00
.OD
7,4DO.15
AMOUNT PAID
7,4DD.15
BALANCE OF UNPAID INTEREST/PENALTY AS OF D1-19-2007 TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
* IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
7,40D.15
.DD
174.10
174.10
( IF TOTAL DUE IS LESS THAN .1. NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)