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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
•
~~ t ~ _ NOTICE~OF INHERITANCE TAX !,pe1111S~/LVal11a ~
~':r~~,I~S~~I~T~°}aALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
~4r ~~°~~~~p'~p~i~Tl".'ONS AND ASSESSMENT OF TAX REV-1547 EX AFP c12-o9)
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ORFHAN'~ ~'JRT
LISA MARIE COYNE ~~~~~-~~-~~~`'~~ r-~'~~~ ~A
COYNE & COYNE
3901 MARKET ST
CAMP HILL PA 17011
DATE 05-03-2b10
ESTATE OF WINN ' DOROTHY L
DATE OF DEATH 08-04-2 09
FILE NUMBER 21 09-0 63
COUNTY CUMBERL ND
ACN 101
APPEAL DATE: 7-02-2010
(See reverse side and Objections )
Amount Remitted
MAKE CHECK PAYABLE AN REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUA E
CARLISLE PA 170 3
CUT ALONG THIS LIME _ ~ R_ETA_IN LOWER PORTION FOR YOUR RECORDS E
REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWI
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TI
ESTATE OF: WINN DOROTHY LFILE N0.:21 09-0763 ACN: 1
---------------------
NCE OR
1 DATE: 05-03-2010
TAX RETURN WAS: C ) ACCEPTED AS FILED C X) CHANGED ~EE ATTACHED NOTICE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1)
2. Stocks and Bonds (Schedule B) C2)
3. Closely Held Stock/Partnership Interest (Schedule C) C3)
4. Mortgages/Notes Receivable (Schedule D) C4)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5)
6. Jointly Owned Property (Schedule F) C6)
7. Transfers (Schedule G) C7)
0
NOTE: To ensure proper
credit to your account,
.submit the upper portion
of this form with your
tax payment.
0
0
0
525. 0
3,984. 1
0
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
CB) 4 , 509.81
11) 10,229.20
12) 5,719.39-
13) . 00
14) 5,719.39-
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 (15) .00 X 00 -- .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) .0 0 x 0 4 5 = .0 0
17. Amount of Line 14 at Sibling rate C17) .0 ~ X 12 .0 0
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 - .0 0
19 al Tax Due
inci
P C19)= .0 0
. p
r
TAY /`DCTITTC.
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
IUTAL IAJI rAT17C ~
BALANCE OF TAX D
INTEREST AND PE ,
TOTAL DUE
.00
.00
.00
.00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CR DIT" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS ~
FORM FOR INSTRUCTIONS.
~~~ ~~
REV-1470 EX (Ot-10) '~ ~
~~
~ ~ Pennsylvania INHERITANCE TAX
'. DEPARTMENT OF REVENUE ~~
~. ... ~ EXPLANATION
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Box 280601 i
DECEDENT'S NAME FI E NUMBER
Dorothy L. Winn 2109-0763
REVIEWED BY A N
Destiny S.R. Brown 101
ITEM
SCHEDULE NO, EXPLANATION OF CHANGES
G
1-3
Department will bill joint owner separately.
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