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NOTICE OF INHERITANCE TAX
^~ PRA~,i~4E, ANT, .ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAX~$:,~ ,
INHERITANCE TAX DIVISION ~ OF Df~'UCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 ,-+ " ' `
HARRISBURG PA 17128-0601 ~ . _..'_, `;; .:_, ,_
1 IRVINE ROW
CARLISLE PA 17013
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1Ei47 EX AFP (12-09)
DATE 03-22-2010
ESTATE OF COY MARK D
DATE OF DEATH 09-20-20p5
FILE NUMBER 21 05-088
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 0 -21~-2010
(See reverse side under (Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARI=
CARLISLE PA 1701$
CUT ALON_6 THIS LINE _ ~ R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS
REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWA
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TA
ESTATE OF: COY MARK DFILE N0.:21 05-0888 ACN: 10 _ _______________
CE OR
DATE: 03-22-2010
TAX RETURN WAS: ( ) ACCEPTED AS FILED C )() CHANGED $ E ATTACHED NOTICE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) Cl) •0 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .0 credit to your account,
3.
Closely Held Stock/Partnership Interest (Schedule C)
(3)
'0 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) •0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) •0
6. Jointly Owned Property (Schedule F) (6) •0
7. Transfers (Schedule G) (7) .0
8. Total Assets 8) .0 0
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .0
11. Total Deductions ( I1) .00
12. Net Value of Tax Return ( 12) .00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C '3) .0 0
14. Net Value of Estate Subject to Tax ( '4) . 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) .0 0 X 0 = .0 0
16. Amount of Line 14 taxable at Lineal/Class A rate C16) .~ 0 X 4 5 = .0 0
17. Amount of Line 14 at Sibling rate C17) .0 0 X 2 = .0 0
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 5 = .0 0
19. Principal Tax Due C19)= .0 0
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX PAYME~
BALANCE OF TAX D
INTEREST AND PEI
TOTAL DUE
.00
.00
.00
.00
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CRDIT" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS (FORM FOR INSTRUCTIONS.r'~,~:'~
~~
REV-1470 EX (6-68)
4it.
~,
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENT'S NAME FI NUMBER
Mark D. Coy 2105-0888
REVIEWED BY AC
Eunice Baker 101
ITEM
SCHEDULE NO, EXPLANATION OF CHANGES
Efforts to file an Inheritance Tax return have been exhausted in a above referenced
estate. Therefore, the filing requirements have been waived. Th Department however,
reserves the right to assess any assets that may be recovered a I a future time.
INHERITANCE TAX
EXPLANATION
OF CHANGES
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