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Home My WebLink About09-18-09COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE - n ~ ` ~, ~ '',- .. "• NOTLCE~OF INHERITANCE TAX BUREAU OF INDIVIDUAL TAXES ~pp~A•bSEJi~1JT;; ALLOWANCE OR DISALLOWANCE INHERITANCE TAX DIVISION - - r PO BOX 280601 ' --'~~ ~-''•DF `~HEDUCTTONS AND ASSESSMENT OF TAX HARRISBURG PA 17128-D601 C REV-1547 EX AFP (01-09) 2009 SEP ~ $ ~ ~~~ ~© DATE 09-15-2009 ESTATE OF EISEN PAMELA F C~~~~~ r' DATE OF DEATH 11-19-2008 ~ ~~!",''`_; ~n;~~i, G;T FILE NUMBER 21 08-1182 OR. N ~ J ~;!(~.,' ~`„~ ~~, COUNTY CUMBERLAND WILLIAM L ADLER ACN 101 ADLER S. ADLER APPEAL DATE: 11-14-2009 125 LOCUST ST (See reverse side under Objections) HBG PA 17101 Amount Remittedr- MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ---- --~ RETAIN LOWER PORTION FOR YOUR RECORDS F- _ ______ -------------------- ------------------------------------- REV-1547 EX AFP (01-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF EISEN PAMELA F FILE N0. 21 OS-1182 ACN 101 DATE 09-15-2009 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) 380,000.00 NOTE: To insure proper 2. Stocks and Bonds (Schedule B) (2) 970 411.00 credit to your account, 3. Closely Held Stock/Partnership Interest (Schedule C) C3) .00 submit the upper portion of this form with your 4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment. 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 68.367.00 6. Jointly Owned Property (Schedule F) (6) .00 7. Transfers (Schedule G) (7) .00 e. Total Assets (B) 1,418,778.00 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q) 65,071.00 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00 11. Total Deductions (11) 6.071 .00 12. Net Value of Tax Return (12) 1,353,707.00 13. Charitable/Governmental Bequests; Non-elected 9113 Trus ts (Schedu le J) C13) .00 14. Net Value of Estate Subject to Tax C14) 1,353,707.00 NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate C15) .00 X 00 _ .00 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 1,353,707.00 X 045 _ 60,917.00 17. Amount of Line 14 at Sibling rate (17) .00 X 12 _ .00 18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 _ .00 19. Principal Tax Due (ly)= 60,917.00 TeX rRFnTT'c. PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID (-) AMOUNT PAID 02-10-2009 CD010886 3,045.85 59,000.00 ~ IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. TOTAL TAX CREDIT 62,045.85 BALANCE OF TAX DUE 1,128.85CR INTEREST AND PEN. .00 TOTAL DUE 1,128.85CR IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE'~~~. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)