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Home My WebLink About05-28-10NOTIC~,DF INHERITANCE TAX ,~;~~~,F~I,tJ~1LLOWANCE OR DISALLOWANCE BUREAU OF INDIVIDUAL TAXES ~: INHERITANCE TAX DIVISION :=~~DU~~IA'~IS AND ASSESSMENT OF TAX PO BOX 280601 ,~~-~~S~,y ~ ~~s '~~ "t"`~ HARRISBURG PA 17128-0601 ``` p ~A~t 2~ QK ~ ~ 20 ~~~ ~e~ ~~~~~}S ~~3~ VERNON M MARTIN JR ~~~~~~,,.~ ~rQ 12 SUMMIT DR DILLSBURG PA 17019 peri~~~ylvania DEPARTMENT OF REVENUE REV-1547 ©( AFP C12-04) DATE D5-24-2010 ESTATE OF SEITZ MARLIN H DATE OF DEATH 10-24-2009 " FILE NUMDER 21 09-1088 COUNTY CUMBERLAND ACN 101 APPEAL DATE: 07-23-2010 (See reverse sfde under Obfections) Aaount Re~ittedl ^~ MAKE (NECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR. RECORDS #~ ______________ w w w r w w w w w r w w a w w w a r w w w w w w w w r w w w w w w r w w w w w w w w w w w w w r w r w w w w w w w w w w a r a a w. w. w r w w - w w w w w w REV-1547 EX AFP C12.09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF: SEITZ MARLIN HFILE N0.:21 09-1088 AQN: 101 DATE: 05-24-2010 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) GHAN6ED APPRAISED VALUE OF RETURN RASED ON: ORIGINAL RETURN A) l h d CS C1) •0 0 NOTE: To ensure proper s a u c 1. Real Estate dule B) (S h d C2) .0 0 credit to your account, e c s 2. Stocks and Bon tnership Interest (Schedule C) ktP d St C3) .0 0 submit the upper portion f this fora with your ar oc 3. Closely Hel ivable tScheduls D) R t N C4) 2 17.58 o tax payment. ece es o 4. Mortyagesl Personal Property (Schedule E) c /Mi it C5) 148, 918.51 s . s 5. Cash/Bank Dopos CSchaduls F) t d P C6) .0 0 y roper 6. Jointly Owne 7. Transfers (Schedule G) (7) .0 0 C8) 149 ,136.09 8. Total Assets APPROV ED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expanses (Schedule H) Cg) 1 5.4 3 5.7 6 10. Debts/Mortpa9s Liabilities/Liens CSchaduls I) C10)~ .0 0 tll) 15,435..76 11. Total Deductions 133 700.33 12. Nst Value of Tax Return (12) , 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) 21, 1 52.1 6 T t t b C14) 112, 548.17 14. ax o jec Net Value of Estate Su NOTE: If an assess~ent 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: 00 DO 00 15. Amount of Lins 14 at Spousal rats t15) • X . 16. Amount of Line 14 taxable at Lineal/Class A rate t16) 12 54H_17 _ X 045 , 5, _,__„~ 064.b7 ,_,,,__ 17. Amount of Line 14 at Sibling rats C17) -Q~ X 12 a .0 0 18. Aaount of Lins 14 taxable at Collateral/Class B rata C18) •00 X 1 5 ~ .0 0 19 al Tax Due inci P C19)= 5 , 064.67 . p r r.v ~o rnrrc. _ PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID 12-08-2009 CDOi2087 2 3.23 5,000.00 TOTAL TAX PAYMENT 5,253.23' BALANCE OF TAX DUE 188.56CR INTEREST AND PEN. .00 TOTAL DUE 188.56CR * 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 RE'Y£RSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~.