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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
n~~"-:r:: .-,: NOTICE OF INHERITANCE TAX
'jlpPR1AISEMENT, ALLOWANCE OR DISALLOWANCE
,I .', " ..Of DEDUCTIONS AND ASSESSMENT OF TAX
*'
BUREAU OF INDIVIDUAL TAXES,'
INHERITANCE TAX DIVISION
PO BOX 2B0601
HARRISBURG PA 11128-0601
REV-1541 EX AFP (06-05>
DATE 08-13-2007
ESTATE OF COFFEY JOYCE L
DATE OF DEATH 05-08-2006
FILE NUMBER 21 06-0697
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 10-12-2007
( See reverse side under Objections)
Amount 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 COFFEY JOYCE L FILE NO. 21 06-0697 ACN 101 DATE 08-13-2007
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JOEL R zULLIf;4~e'~'--" .. r'), PA
ZULLINGER DAVIS
14 N MAIN ST STE 200
CHAMBERSBURG PA 17201
TAX 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.
3.
4.
5.
6.
7.
8.
Stocks and Bonds (Schedule B)
(l)
(2)
(3)
(4)
(5)
(6)
(7)
.00
9,357.43
.00
.00
.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.
Closely Held Stock/Pa~tne~ship Inte~est (Schedule C)
Mo~tgages/Notes Receivable (Schedule D)
Cash/Bank Deposits/Misc. Pe~sonal Property (Schedule E)
Jointly Owned P~ope~ty (Schedule F)
T~ansfe~s (Schedule G)
Total Assets
9,357.43
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. Cha~itable/Gove~nmental Bequests; Non-elected 9113 T~usts (Schedule J)
14. Net Value of Estate Subject to Tax
(9)
ClO)
.00
.00
(11)
Cl2)
Cl3)
Cl4)
.00
9,357.43
.00
9,357.43
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 Ahh returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal ~ate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling ~ate
18. Amount of Line 14 taxable at Collate~al/Class B ~ate
19. P~incipal Tax Due
C TS:
A M
DATE
Cl5)
Cl6)
Cl7)
Cl8)
9,357.43 X 00 .00
.00 X 045 = .00
.00 X 12 = .00
.00 X 15 = .00
Cl9)= .00
AMOUNT PAID
T
(-)
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
.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 DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.>