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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
:~!("~R~J<<~~f! . ALLOWANCE OR DISALLOWANCE
qF ,~EQU!=n:ONS AND ASSESSMENT OF TAX
.
DATE 04-02-2007
ESTATE OF EVENCHIK NICHOLAS V
DATE OF DEATH 07-03-2006
FILE NUMBER 21 07-0033
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 06-01-2007
( See reverse side lInder Objections)
A.ount Re.lttedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG; THIS LINE -to RETAIN LOWER PORTION FOR YOUR RECORDS +-
REY:i547-Ex-AFP-coi:05j-NoTicE-oF-iNHERiTANCE-TiX-APPRAiSEMENT:-iLLOWANCE-oi---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF EVENCHIK NICHOLAS V FILE NO. 21 07-0033 ACN 101 DATE 04-02-2007
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO lOX 21UOl
HARRISIURG PA 17128-0'01
2007 APR -9 All II : 49
ALINA N EVENCHIK
44 ALFRED DR
LEWISBERRY
CLErif( OF
ORPH!\\!'E) COtJRT
,""","'"""1 Pl;
PA 17339
REV-1547 EX ~FP (0'-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
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/Govern.ental .equests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
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 ~ returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate (15)
16. Amount of Line 14 taxable at Lineal/Class A rate (16)
17. Amount of Line 14 at Sibling rate (17)
18. Amount of Line 14 taxable at Collateral/Class. rate (18)
19. Principal tax Due
+
INTEREST/PEN PAID (-)
DATE
NUMBER
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
Cl)
(2)
(3)
(4)
(5)
(6)
(7)
.00
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax pay.ent.
.00
.00
.00
4.805.00
.00
.00
(8)
4,805.00
(9)
ClO)
lo,o7l.oo
1459.00
Cl1>
Cl2)
Cl3)
Cl4)
10."60.00
5,435.00-
.00
5,435.00-
.00 X DO .. .00
.00 X 045.. .00
.00 X 12 .. .00
.00 X 15 .. .00
Cl9).. .00
AMOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
.00
.00
.00
C IF TOTAL DUE IS LESS THAN .1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)