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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
,. -,~ , .lfO:nCEQF INHERITANCE TAX
APPRAISEMEN'l',ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
DATE 10-29-2007
ESTATE OF CAMPBELL LINDA J
DATE OF DEATH 03-19-2007
FILE NUMBER 21 07-0601
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 12-28-2007
( See reverse side under Objections)
A.ount Re.1ttedl 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 CAMPBELL LINDA J FILE NO. 21 07-0601 ACN 101 DATE 10-29-2007
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX OIVISION
PO BOX 2B0601
HARRISBURG PA 17128-0601
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2813 N 2ND ST
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PA 17110
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REV-1547 EX AFP (06-05)
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. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Pa~tne~ship Inte~est (Schedule C)
4. Mo~tgages/Notes Receivable (Schedule D)
5. Cash/Bank DepositS/Misc. Pe~sonal P~ope~ty (Schedule E)
6. JointlY Owned P~ope~ty (Schedule F)
7. T~ansfe~s (Schedule G)
S. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Fune~al Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mo~tgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Retu~n
13. Cha~itable/Gove~nmental Bequests; Non-elected 9113 T~usts (Schedule J)
14. Net Value of Estate Subject to Tax
(1)
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
.00
.00
.00
(S)
NOTE: To insu~e P~ope~
c~edit to YOU~ account,
submit the uppe~ po~tion
of this fo~m with YOU~
tax payment.
.00
17. 1 9~. ~6
17,193.64-
.00
17,193.64-
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 ALL 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 ~ate
17. Amount of Line 14 at Sibling ~ate
lS. Amount of Line 14 taxable at Collate~al/Class B ~ate
19. P~incipal Tax Due
o
INTEREST/PEN
DATE
NUMBER
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
(9)
ClO)
574.00
Cl5) .00 X 00 .00
(U) .00 X 045 = .00
Cl7) .00 X 12 .. .00
(18) .00 X 15 .. .00
(19)= .00
AMOUNT PAID
.00
.00
.00
.00
16.619.64
(ll)
Cl2)
Cl3)
Cl4)
(-)
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
( 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.)
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