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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
C:('nRrCf't 0:::i~H,~E OF INHERITANCE TAX
Il.\)',) 'I'JA"PR'AiI~MENr, ALLOWANCE OR DISALLOWANCE
!IF:IUZ'tlucTIONS AND ASSESSMENT OF TAX
2007 OEe ~ 5 Pf'i12: 36
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CINDY LOU FRANKE
STE C
2D38 LINCOLN WAY EAST
CHAMBERSBURG PA 172Dl
REV-1547 EX AFP 06-05)
TAX RETURN WAS: (X) ACCEPTED AS F I LED
DATE 11-2D-2DD7
ESTATE OF PECK INA C
DATE OF DEATH D2-18-2DD7
FILE NUMBER 21 D7- D826
COUNTY CUMBERLAND
ACN IDl
APPEAL DATE: DI-19-2DD8
( See reverse side under Ohjections)
Allount Relli tted L J
MAKE CHECK PAYABLE AND REMIT PAYMENT T
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17D13
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 PECK INA C FILE NO. 21 D7-D826 ACN IDl DATE 11-2D-2 7
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
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
NOTE: If an assessllent was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 wil
reflect figures that include the total of ALL 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 C EDITS:
PAYM NT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (_)
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
) CHANGED
(1)
(2)
(3)
(4)
(5)
(6)
(7)
.DD
.OD
.DD
.DD
.DD
.DD
819.81
NOTE: To insure p
credit to your ac
submit the Upper
of this form with
tax payment.
per
unt,
rUon
our
( IF TOTAL DUE IS LESS THAN *1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DU'
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
(8)
819.81
(9)
(10)
.DD
.DD
(11 )
(12)
(13)
(14)
819.81
.DD
819.81
(15) 819.81 X DD .DD
(16) .DD X D45 = .DD
(17) .DD X 12 = .DD
(18) .DD X 15 = .DD
(19)= .DD
AMOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.DD
.DD
.DD
.DD