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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
-'r.,~;-.-.':" (~.:';N:r,H'rqEoF INHERITANCE TAX
-"AFiPRAIiSE;kiNT, ALLOWANCE OR DISALLOWANCE
OF bEaUCTIbNS AND ASSESSMENT OF TAX
DATE 07-02-2007
ESTATE OF KAHLER FLORENCE A
DATE OF DEATH 08-03-2006
FILE NUMBER 21 06-0701
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 08-31-2007
( 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 +--
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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 KAHLER FLORENCE A FILE NO. 21 06-0701 ACN 101 DATE 07-02-2007
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISIDN
PO BOX 2B0601
HARRISBURG PA 17128-0601
ZOU1 JUL 13 Ph 12: 35
Of1rJi-:'~' !,
STEPHEN L BLOOM ESQ CL '
2100 LONGS GAP RD
CARLISLE PA 17013
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
.00
50.54
.00
.00
13,566.76
.00
5,458.36
(8)
19,075.66
(1)
(2)
(3)
(4)
(5)
(6)
(7)
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12.
13.
14.
Net Value of Tax Return
Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
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 rate
16. Amount of Line 14 taxable at Lineal/Class A rate
Net Value of Estate Subject to Tax
NOTE:
17. Amount of Line 14 at Sibling
18. Amount of Line 14 taxable at
19. Principal Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
rate
Collateral/Class B rate
DISCOUNT (+)
INTEREST/PEN PAID (-)
IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
(9)
CI 0)
15,388.50
4.908.04
CI1)
CI2)
CI3)
CI4)
?0.?96.">4
1,220.88-
. 00
1,220.88-
CIS)
CI6)
CI7)
CI8)
.00 X
.00 X
.00 X
.00 X
.00
.00
.00
.00
.00
00
045 _
12
15
CI9)=
AMOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
.00
.00
.00
( IF TOTAL DUE IS LESS THAN $1. NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE d\V\
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)