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NOTICE OF INHERITANCE TAX Pennsylvania ~
ERR ~,~.S,ErME~,T~~,4LLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES {~~ 7 ~.
INHERITANCE TAX DIVISION ti~ ~i~~~dCT 'N5 AND ASSESSMENT OF TAX REV-1547 IX AFP (12-09)
PO BOX 280601 ~ ~. -e ~,
HARRISBURG PA 17128-0601 ' ~`-`'`'`' "" ~` `
Z~~Q ~A~ -$ P~ ~: j Q DATE 01-04-2010
ESTATE OF RUPP MARGARET N
DATE OF DEATH 02-11-2009
C1E~~ ~`- FILE NUMBER 21 09-0256
ORPN;~,~I`~, CC!.)RT COUNTY CUMBERLAND
ROBERT R BLACK ~U~,p'!-~~ .'~",,i;"~ ~l,r,~ P~ ACN 101
LANDIS K BLACK APPEAL DATE: 03-05-2010
36 S HANOVER ST (See reverse side under Objections)
CARLISLE PA 17013 Amount Re^ittedr
MAKE CHECK PAYABLE AND ~tEMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ --------------
REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: RUPP MARGARET NFILE N0.:21 09-0256 ACN: loll DATE: 01-04-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) •0 0', NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) .00 credit to your account,
00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) . of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) •D0' tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 16,064.88'..
6. Jointly Owned Property (Schedule F) (6) 7,500.53''.
7. Transfers (Schedule G) (7) 29,538.73
8. Total Assets C8) 53.104.14
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (g) 5.986.35
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 1,024.54
11. Total Deductions C11) 7,010.89
12. Net Value of Tax Return (1P) 46, 093.25
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C1$) .00
14. Net Value of Estate Subject to Tax C14) 46,093.25
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 = .0 0
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 46 .093 _ 25 x 045 = 2, 074.20
17. Amount of Line 14 at Sibling rate C17) _00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 - .00
19. Principal Tax Due C19 )= 2,074.20
TAX CREDITS:
PAYMENT REGEiPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
05-08-2009 CD011208 78.95 1,500.00
INTEREST IS CHARGED THROUGH 01-19-2010 TOTAL TAX PAYMENT 1,578.95
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DIE 495.25
REVERSE SIDE OF THIS FORM INTEREST AND PEN'. 4.43
TOTAL DUE 499.68
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUEL
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.