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BUREAU OF INDIVIDUAL TAXSS
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
*'
REV-1547 EX AFP (06-05)
DATE 04-30-2007
ESTATE OF COOPER JR CHESTER W
DATE OF DEATH 05-23-2006
FILE NUMBER 21 06 - 0645
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 06-29-2007
( 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 +--
REY:is47-EX-AFP-C03:0Sl-NOTicE-OF-iNHERiTANCE-TAX-APPRAisEMENT:-ALLOWANCE-OR---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF COOPER JR CHESTER W FILE NO. 21 06-0645 ACN 101 DATE 04-30-2007
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BRADFORD DOROt\tCE ESQ
KEEFER ETAL
PO BOX 11963
HBG
PA 17108
T AX RETURN WAS: (X) ACCEPTED AS F I LED
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/Pa~tne~ship Inte~est (Schedule C)
4. Mo~tgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Pe~sonal P~ope~ty (Schedule E)
6. Jointly Owned P~ope~ty (Schedule F)
7. T~ansfe~s (Schedule G)
8. Total Assets
(1)
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
6,901.00
.00
.00
(8)
NOTE: To insu~e p~ope~
c~edit to YOu~ account,
submit the uppe~ po~tion
of this fo~m with you~
tax payment.
6,901.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9.
10.
11.
12.
13.
14.
Fune~al Expenses/Adm. Costs/Misc. Expenses (Schedule H)
Debts/Mo~tgage Liabilities/Liens (Schedule I)
Total Deductions
Net Value of Tax Retu~n
(9)
ClO)
1,883.00
Cha~itable/Gove~nmental Bequests; Non-elected 9113 T~usts (Schedule J)
97.770.00
(11)
Cl2)
Cl3)
Cl4)
99.6">3.00
92,752.00-
340.00
93,092.00-
Net Value of Estate Subject to Tax
NOTE: If an assessment 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 ~ate Cl5) .00 X 00 .00
16. Amount of Line 14 taxable at Lineal/Class A ~ate Cl6) .00 X 045 = .00
17. Amount of Line 14 at Sibling ~ate Cl7) .00 X 12 = .00
18. Amount of Line 14 taxable at Collate~al/Class B ~ate Cl8) .00 X 15 = .00
19. P~incipal Tax Due Cl9)= .00
TAX CRIODITS:
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 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 TI-IIS FO~M FO~ TN~TDIIl"'TTnN" ,
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