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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
HOT ICE OF IHHERITAHCE TAX
APPRAISEMEHT, ALLOWAHCE OR DISALLOWAHCE
OF DEDUCTIOHS AHD ASSESSMEHT OF TAX
*'
DATE 05-14-2007
ESTATE OF NICHOLSON COLLEEN M
DATE OF DEATH 08-05-2005
FILE NUMBER 21 05- 0729
COUNTY CUMBERLAND
ACN 10 1
APPEAL DATE: 07-13-2007
( See reverse side under Objections)
A.ount Re.itted[ ]
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 ....
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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 NICHOLSON COLLEEN N FILE NO. 21 05-072' ACN 101 DATE 05-1'-2007
BUREAU OF IHDIVIDUAL:-TA~:S'T
IHHERITANCE TAX DIVISIOII ' ,',
PO BOX 280601
HARRISBURG PA 17128-0601
'Inn? "1iP\l 18
L'J rlil .
Pr'l I: 08
CLEFX OF
O,Pl q,,',!~;t' lIr" ~-,r'\! IqT
JANE E ~eE.I~:"f:'~<),';' ,Ie:'
64 S PIT't '~T
CARLISLE PA 17013
REV-1547 EX AFP (06-05)
TAX RETURH WAS: (X) ACCEPTED AS F I LED
( ) CHAHGED
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/Hotes 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
0)
(2)
(3)
(4)
(5)
(6)
(7)
70,000.00
.00....
.00
.00
10.000.00
.00
.00
(8)
HOTE: To insure proper
credit to your account,
SUbMit the upper portion
of this form with your
tax payment.
80,000.00
5,015.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (SchedUle H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Het Value of Tax Return
13. Charitable/GoVernmental Bequests; Hon-elected 9113 Trusts (Schedule J)
14. Het Value of Estate Subject to Tax
If .n ........nt v.. 1....d ....I...lY. lln" ". 15 .nd/" ". 17. ,. .nd " vIII
reflect figures that include the total of ~ returns assessed to date.
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:
+
IHTEREST/PEH PAID (-)
DATE
HUMBER
(9)
(0)
87.917.99
Q?Q~?Q9
12,932.99-
.00
12,932.99-
Oll
(2)
(3)
(4)
(5)
(6)
on
(8)
.00 X 00 . .00
.00 X 045. .00
.00 X 12 . .00
.00 X 15 . .00
(9). .00
AMOUHT PAID
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
( IF TOTAL DUE IS LESS THAN tl, HO PAYMENT IS REQUIRED. ~
IF TOTAL DUE IS REFLECTED AS A "CREDn" (CR), YOU MAY BE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIOHS
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATIOH OF ADDITIONAL INTEREST.