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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
,,.,r ,c, NOTICE OF INHERITANCE TAX
BINUHREERAITUAN~FE TIAXND~~VII~~~NL TAXE~r(V'\PD' EO nr-F,\6~~ISEMENT. ALLOWANCE OR DISALLOWANCE
" ',.II,. , . -' '-'.. OF DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 2B0601
HARRISBURG PA 1712B-0601
'*
REV-1547 EX AFP (06-05)
DATE 06-25-2007
ESTATE OF STAUFFER SARA B
DATE OF DEATH 07-29-2006
FILE NUMBER 21 06-0781
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 08-24-2007
( See reverse side under Objections)
A.ount Re.ittedl 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 STAUFFER SARA B FILE NO. 21 06-0781 ACN 101 DATE 06-25-2007
10U1 JUN 29 PH \: \ ,
C~~~K Q6UR1
EDMUND G MYERS q~~~,\ I S,~ (Y) FA
JOHNSON DUFFI~lk" '
301 MARKET ST
LEMOYNE PA 17043
TAX RETURN WAS: (X) ACCEPTED AS FILED
( ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
Stocks and Bonds (Schedule B)
(1)
(2)
(3)
(4)
(5)
(6)
(7)
16,894.99
.00
.00
.00
70,753.90
.00
217,561.69
(8)
NOTE: To insure proper
credit to your account.
submit the upper portion
of this form with your
tax payment.
1. Real Estate (Schedule A)
2.
3.
4.
5.
6.
7.
8.
Closely Held Stock/Partnership Interest (Schedule C)
Mortgages/Notes Receivable (Schedule D)
Cash/Bank Deposits/Misc. Personal Property (Schedule E)
Jointly Owned Property (Schedule F)
Transfers (Schedule G)
Total Assets
305,210.58
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/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
(9)
ClO)
6,618.77
764.30
Cl1)
Cl2)
Cl3)
Cl4)
7.~8~.D7
297,827.51
.00
297,827.51
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 !bh 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. Tax Due
X C
NOTE:
Cl9)=
.00
13,402.24
.00
.00
13,402.24
Cl5)
(16)
Cl7)
Cl8)
.00 X
297,827.51 X
.00 X
.00 X
00
045 =
12 =
15 =
M
DATE
10-27-2006
04-14-2007
CE
NUMBER
CD007360
CD008032
AMOUNT PAID
10,500.00
2,349.61
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
13,402.24
.00
.00
.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 DU
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)