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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
GEORGE F
SALZMANN
STE 1
CARLISLE
,- E%~O;.F ~IN,HERITANCE TAX Pennsylvania ~
APPR~~$i~''J+~~+S~~E OR DISALLOWANCE DEPARTMENT OF REVENUE
OF !~'(E,~~QNB„? , N~ ASSESSMENT OF TAX REV-1547 EX AFP az-o9)
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2QIONAR-5 AM~~: p~ATE 03-01-2010
ESTATE OF HARRY DOROTHY J
C~.E~SK ~~ DATE OF DEATH 02-23-2009
e Q~~j~C ~011RT FILE NUMBER 21 09-0429
ESQ ~~V~~'~[?I '~~`~~"~ ~,~ . ~A COUNTY CUMBERLAND
ACN 101
PA 17015
APPEAL DATE: 04-30-2010
(See reverse side under Ob}ections)
ABaount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1547 EX AFP C12-09) NOTICE OF INHERITANCE TAX APPRAISEME NT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESS MENT OF TAX
ESTATE OF: HARRY DOROTHY JFILE N0.:21 09-0429 ACN: 101 DATE: 03-01-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 57, 000.00
NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .0 0 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) C5) 3,036.00
6. Jointly Owned Property (Schedule F) (6) 544.48
7. Transfers (Schedule G) (7) 12, 000.00
8. Total Assets C8) 72,580.48
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Cq) 4.236.66
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions C11) 4,236.66
12. Net Value of Tax Return C12) 68,343.82
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax (14) 68,343.82
NOTE: If an assessAent was issued previously,
reflect figures that include the total
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
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns assessed to date.
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C-)
05-21-2009 CD011272 494.74
08-20-2009 CD011646 .00
INTEREST IS CHARGED THROUGH 03-16-2010
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
DOUGLAS III
HUGHES
C15) .00 X
C16) _ 00 X
(17) _ 00 X
(ls) 68,343.82 X
AMOUNT PAID
00 = .00
045 = .00
12 = .oo
15 = 10,251.57
(19)= 10,251.57
)'7YV . YV
19.10
TOTAL TAX PAYMENT 9,913.84
BALANCE OF TAX DUE 337.73
INTEREST AND PEN. 4.54
TOTAL DUE 342.27
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS ryl~,~'\.
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