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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
n:-COOIICf"\ nt:Q'l'ltC€)fbF I NHER IT ANCE TAX
he \,., IMl-Pt(A.,,~t~kT ALLOWANCE OR DISALLOWANCE
REG\St~~D~~!~SAND ASSESSMENT OF TAX
DATE 11-12-2007
ESTATE OF SHAMBAUGH LAURA M
DATE OF DEATH 12-07-2006
FILE NUMBER 21 06-1122
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 01-11-2008
( See reverse side under Objections)
A.ount Re.itted[ J
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
,~!_~~~~~_!~!!_~!~~______~___!~!~!~-~~~~!_~~!!!~~_E~!-!~~!-!~~~!~!--~--------------------
REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF SHA."AUGH LAURA . FILE NO. 21 0'-1122 AeN 101 DATE 11-12-2001
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
7001 NO'4 '6 PM 't 34
MICHAEL L BANGS
429 S 18TH ST
CAMP HILL
CLERK OF
ORPHAN'S COURT
CUMBtRL~NO CO. PA
PA 17011
*'
REV-1547 EX AFP (06-05>
TAX RETURN WAS: (X) ACCEPTED AS FILED
) CHANGED
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
If .n ........nt w.. 1..... pr..lo..'Y' 11n" ". 15 .n,/or ". 11. '" .n' " wIll
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
is. 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. 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)
S. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. JointlY Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
DATE
03-05-2007
11-05-2007
C
NUMBER
CD007867
REFUND
+
INTEREST/PEN PAID (-)
506.83
.00
(l)
(2)
(3)
(4)
(S)
(6)
(7)
179,814.71
.00
.00
.00
64.506.30....
.00
.00
(8)
( IF TOTAL DUE IS LESS THAN *1, NO PAYMENT IS REQUIRED. ~
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE D
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
244,321.01
10,395.61
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)
(l0)
NOTE:
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
8.6&5.75
lQ.nl;;l.~'
225,259.65
.00
225,259.65
{lll
(l2)
(l3)
(l4)
(lS)
(l6)
(l7)
(l8)
.00 X
225,259.65 X
.00 X
.00 X
00 "
045 "
12 "
15 ..
.00
10,136.68
.00
.00
10,136.68
(19)"
AMOUNT PAID
9,700.00
70.15-
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
10,136.68
.00
.00
.00