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Home My WebLink About05-21-10NOTICE OF INHERITANCE TAX pennsy van~a ~ BUREAU OF INDIVIDUAL TAXES AP!PRA±~~~N~fi.~~~-OWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION ~~ .,Q~, ~~~U~TI,©N;$~ AND ASSESSMENT OF TAX REV-1547 EX AFP (12-09) PO BOX 280601 { t ~' ~` ' ~. ~ ~ . ;. HARRISBURG PA 17128-0601 ~~~'_w, ~ ~~ ~Q~~~~~ ~ I ~~ ~2; ~ 4 DATE 05-17-2010 ESTATE OF TRUBIANI ANNAMAE M DATE OF DEATH 03-08-2009 GLE~~`~ ~''~ FILE NUMBER 21 09-0251 11~~i~~.~° ~ ~~~~T COUNTY CUMBERLAND SUSAN H CONFAIR ~~:~s k ~~~` 'yr '.~,'.1., ~t~, ACN 101 REAGER 8~ ADLER APPEAL DATE: 07-16-2010 2 3 31 MARKET S T (See reverse side under Objections ) CAMP HILL PA 17011 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SgUARE 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: TRUBIANI ANNAMAE MFILE N0.:21 09-0251 ACN: 101 DATE: 05-17-2010 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) C1) •0 0 NOTE: To ensure proper .0 0 credit to your account, 2. Stocks and Bonds (Schedule B) C2) .0 0 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) •0 0 tax payment. 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 10, 099.20 6. Jointly Owned Property (Schedule F) (6) .0 0 7. Transfers (Schedule G) (7) .0 0 8. Total Assets (8) 1 0 , 099.20 APPROV ED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) ~q) 5.411.8 7 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 36,094.18 11. Total Deductions C11) 41,506.05 12. Net Value of Tax Return C12) 31,406.85- 13. Charitable/Governmental Bequests; Non-elected 9113 Tr usts (Schedule J) C13) .0 0 14. Net Value of Estate Subject to Tax C14) 31,406.85- 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. ASSESS MENT OF TAX: 15. Amount of Line 14 at Spousal rate C15) .0 0 X 0 0 - .0 0 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 0 X 12 - .0 0 18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 - .0 0 19. Principal Tax Due C19)= .0 0 TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID (-) AMOUNT PAID TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 * 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.