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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
Q-:0nR~"\~:\ 0rt+IH~C,C:OF INHERITANCE TAX
"\~~'j~lp"puisEHnrr.ALLOWANCE OR DISALLOWANCE
i<:::~C 1.- 01=~EJ)oqr~Ns AND ASSESSMENT OF TAX
... '."". -'.." "'..1....
REV-1547 EX AFP (06-05)
DATE 11-20-2007
ESTATE OF HOFFMAN VERNON P
DATE OF DEATH 12-23-2006
FILE NUMBER 21 07-0042
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 01-19-2008
( See reverse side under Objections)
A.ount Remittedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
~~!_~~~~~_!~!~-~!~~------~--_~~!~!~_~2~~~_~2~!!2~_~2~_Y2~~_~~~2~~~__~____________________
REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HOFFMAN VERNON P FILE NO. 21 07-0042 ACN 101 DATE 11-20-2007
20D7 DEe -s Pr112: 36
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MARTSON LAW OFFICES
10 E HIGH ST
CARLISLE
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PA 17013
TAX RETURN WAS: (X) ACCEPTED AS FILED
) 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/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)
530,000.00
5,343.15
.00
.00
23,804.52
.00
.00
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
(8)
559,147.67
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)
(10)
35,383.52
946.90
(11)
(12)
(13)
(14)
36.3311.4?
522,817.25
.00
522,817.25
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 !hh 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. Principal Tax Due
TAX CREDITS:
PAYMENT
DATE
03-22-2007
08-23-2007
(15)
(16)
(17)
(18)
.00
522,817.25
.00
.00
X 00
X 045 =
X 12 =
X 15 =
(19)=
.00
23,526.78
.00
.00
23,526.78
RECEIPT
NUMBER
CD007935
CD008581
DISCOU T (+)
INTEREST/PEN PAID (-)
1,052.63
.00
AMOUNT PAID
20,000.00
2,474.15
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.