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DATE 10-29-2007
ESTATE OF CUSPARD MARION D
DATE OF DEATH 04-26-2006
FILE NUMBER 21 06-0388
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 12-28-2007
( See reverse side under Objections)
AMount Re.itted[ 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 CUSPARD MARION D FILE NO. 21 06-0388 ACN 101 DATE 10-29-2007
BUREAU OF INDIVIDUAL TAXES
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
71 -2
Pi: ,: 05
Cr. .'....'..
)1-,:..,'--
r.!
CHRISTINE C WHITE
2097 STONEBRIDGE DR
ANN ARBOR MI 48108
l_..".. ,
.
'*
REV-15~7 EX AFP (06-05)
TAX RETURN WAS: (X) ACCEPTED AS FILED
) CHANGED
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 I~ 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 I~ taxable at Collateral/Class B rate
19. Principal Tax Due
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
(ll
(2)
(3)
(4)
(5)
(6)
(7)
90,000.00
.00
.00
.00
24,280.00
2,944.00
5,381.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. CostS/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
II. 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)
(IO)
23,319.00
.00
(Ill
(I2)
(I3)
(I~)
NOTE: To insure proper
credit to your account,
submit the Upper portion
of this form with your
tax payment.
122,605.00
?~.~19 nn
99,286.00
.00
99,286.00
(IS) .00 X DO .00
(16) 99,286.00 X 045 = 4,468.00
(I7) .00 X 12 = .00
(I8) .00 X 15 = .00
(I9)= 4,468.00
TAX CQ~nITS:
PA~NT RECEIPT DISCOU-NT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
INTEREST IS CHARGED THROUGH 11-13-2007 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 4,468.00
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 284.74
TOTAL DUE 4,752.74
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. ~ J
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUff'--b
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)