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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
'~"-["AP)>~AtSIf"E"'T. ALLOWANCE OR DISALLOWANCE
. OF D~OUCTIONS AND ASSESSMENT OF TAX
*'
DATE 12-31-2007
ESTATE OF TYLER JUDITH A
DATE OF DEATH 03-30-2007
FILE NUMBER 21 07-0330
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 02-29-2008
( 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
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS 4--
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REV-1547 EX AFP C03-05J NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF TYLER JUDITH A FILE NO. 21 07-0330 ACN 101 DATE 12-31-2007
Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
Net Value of Estate Subject to Tax
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 ~ 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
TA CR ITS:
PAYMENT
DATE
06-08-2007
10-09-2007
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRIS8URG PA 17128-0601
2010 I" OJ 1
.:jUL~ ....Hf":j - ,}
Pl\~ 12: 35
JOHN MEAKIN
MARKET SQ BLDG
MECHANICSBURG
r~1
'."
PA 17055
T AX RETURN WAS: (X) ACCEPTED AS F I LED
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.
10.
II.
12.
13.
14.
Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
Debts/Mortgage Liabilities/Liens (Schedule I)
Total Deductions
Net Value of Tax Return
NOTE:
RECEIPT
NUMBER
CD008270
CD008792
DISCOUNT (+
INTEREST/PEN PAID (-)
2,368.42
.00
* IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
REV-1547 EX AFP (06-05)
) CHANGED
(1)
(2)
(3)
(4)
(5)
(6)
(7)
185,000.00
144,794.00
.00
.00
196,788.72
.00
.00
(8)
526,582.72
NOTE: To insure proper
credit to your account.
submit the upper portion
of this form with your
tax payment.
(9)
ClO)
16,703.55
66.255.33
(11)
Cl2)
Cl3)
Cl4) _
8?91i8_88
443,623.84
.00
443,623.84
Cl5)
Cl6)
Cl7)
Cl8)
. DO X
. DO X
443,623.84 X
.00 X
.00
.00
53,234.86
.00
53,234.86
DO
045 =
12 =
15 =
Cl9)=
AMOUNT PAID
45,000.00
5,866.51