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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2B0601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
---r-, "r'~Tf' 1~.-~JfC,E ~'OF INHERITANCE TAX
":-l:.) 1A#J:lRAISE'ihzNT'T'AllOWANCE OR DISAllOWANCE
-3!'f iDEDLlCT!I'~NS AND ASSESSMENT OF TAX
i __'0..'
REV-15tH EX AFP !06-05)
2001 DEe --5 Pr'iI2: 36
ROBERT E MYERS
100 OLD YORK RD
NEW CUMBERLAND PA 17070
11-20 -2007
EMADI
06-04-1938
21 07-0844
CUMBERLAND
101
APPEAL DATE: 01-19-2008
( See reverse side under Objections)
Amount Remittedl ]
MAKE CHECK PAYABLE AND REMIT PAYMENT T
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
ATHUSAIIlI
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +-
---------------------------------------------------------------------------------------
REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF EMADI ATHUSAIN FILE NO. 21 07-0844 ACN 101 DATE 11-20-2 07
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
(l)
(2)
(3)
(4)
(S)
(6)
C7}
.00
.00
.00
.00
.00
.00
.00
(8)
NOTE: To insure
credit to your a
submit the upper
of this form with
tax payment.
oper
ount,
ortion
our
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. CostS/Misc. Expenses (Schedule H)
.0
10.
11.
12.
13.
14.
Debts/Mortgage liabilities/liens (Schedule I)
Total Deductions
Net Value of Tax Return
Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
Net Value of Estate SUbject to Tax
(9)
ClO}
.00
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 wi
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of line 14 at Spousal rate ClS} .00 X 02 .00
16. Amount of line 14 taxable at lineal/Class A rate Cl6} .00 X 02 .00
17. Amount of line 14 at Sibling rate Cl7> .00 X 00 .00
18. Amount of line 14 taxable at Collateral/Class B rate (18) .00 X 10 .00
19. Principal Tax Due Cl9} = .00
T X C E ITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
.00
(11 )
Cl2}
Cl3}
Cl4}
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
.00
.00
.00
( IF TOTAL DUE IS lESS THAN $1, NO PAYMENT IS REQUIRED. i ~
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE D~ i ~
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) ,