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NOTICE OF INHERITANCE TAX ~n .~~~~'C~n~a
BUREAU OF INDIVIDUAL TAXES f~^ ,,_, ~ :. ~ , LLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~ ;>=.,~0~=~~}E,tl~ SAND ASSESSMENT OF TAX REV-1547 EX AFP c12-o9~
PO BOX 280601 ~,~.;,~t,; ~ ~t~ '~.+-` '.f~:. :.:
HARRISBIHtG PA 17128-0601
~~~Q ~~~ 2 ~ p~ ~~ 5g DATE 06-21-2010
ESTATE OF DIVELY PATRICIA M
DATE OF DEATH 07-12-2009
~R~{~ FILE NUMBER 21 09-0683
~~~~r~ ~t~URT COUNTY CUMBERLAND
SUSAN ROWELL C~~~l..~D ~;~-, RA ACN 1 D 1
1109 RED HILL RD APPEAL DATE: 08-20-2010
DAUPHIN PA 17018 (See reverse side under Ubfect~oas)
Amount Reaittsd ~- -~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER ~F WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONC THIS LI E -~- --RETAIN-LOMIER-PORTION-FOR-YOUR-RECO~tDS--~ -----
REV-1547 EX AFP C~2-09) NOTICE QF INHERITANCE TAX APPRAISEMEMT, AI.IOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OFs DIVELY~ PATRICIA MFILE NO.s21 09-0683 ACN: 101 DATES 06-21-2010
TAX RETURN WAS: C ) ACCEPTED AS FILED C X) CHANGED S.EE ATTACHED NOTICE
i.~.~
~.~.~.
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) •0 0 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) 9,.946.82 credit to your account,
---'~`~- submit the upper portion
3. Closely Held !Stock/Partnership Interest (Schedule C) C3) .0 0 of this form with your
4. Mortpapes/Not'es Receivable (Schedule D) C4) .0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 3, 0$6.00
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) (7) .0 0
8. Total Ascots Ce) 13.034.82
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Cg) 6 `1 9
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 3 , 8 7.7 9
11. Total Deductions Cli) 9,377..99
12. Not Value of 'Tax Return C12) 3, 356, 83
13. Charitable/Gdvernmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) _ .0 0
14. Net value of Estate subject to Tax C14) 3,356.83
NOTE: If an assress~ent was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect ~ipures that include the total of A-LL r.turns assass•d to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate C15) .00 X 00 = .00
16. Amount of Lihe 14 taxable at Lineal/Class A rate C13) ~ .;~6 _ 8~ x 045 = 151.06
17. Amount of Lihe 14 at Sibling rate C17) _QD X 1 2 .0 0
18. Amount of Lihe 14 taxable at Collateral/Class B rate C18) .0 0 X 15 = .0 0
19. Principal Tax Due C19)~ 151.06
TAX CREDITS:
PAYMENT RECEI T DISCOUNT C+)
DATE
NUMBER
INTEREST/PEN PAID C-) AMOUNT PAID
n3-1 L-7n7 n r-nn~ ~i-s^ .. .. ___ _ _
TOTAL TAX PAYMENT 201.41
BALANCE OF TAX DUE 50.35CR
INTEREST AND PEN.. .00
TOTAL DU'E 50.35CR
* IF PAID AFTER DATL INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY $E DUE
FOR CALCULATION 0~ ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS..
REV•1470 EX (Oi-10)
~-nr~~ 1~~n1a
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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
~~ -
INHERITANCE TAX
EXPLANATIQN
OF CHANGES
utctutN is w~-nnt FILE NUi~ER
~ive~y, Patricia z~ o~-0ss~
REVIEWED BY ACN
Justin R. Gitmore 101
~~
SCHEDULE ~, EXPLANATION OF CHANt'~iES
7"he we#ue of the estate has been adjusted as the result c~° tl~e correct~n of an error in
arithmetic.
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