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Home My WebLink About06-11-10~: , -* _ , ~~~.;, BUREAU OF INDIVIDUAL INHERITANCE TAX DIVISION PO 8OX 280401 FMRRIS8UR6 PA 17128-0661 • 4~~n~~~r` 1 TILE Of INHERITANCE TAX pennsylvan~a ~~-~ `~ ~'MENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE TAx ~x ,~ ~ ~~'E ~+ ~~ ~ DUCTI ONS AND ASSESSMENT OF TAX REV-1547 EX AFP c12-o9) 2~i0 3UN i i Aid IU~ ~~ t~ ~~T ~~~~~~~ E ALLEN HAAS 504 ALLENVIEW DR MECHANICSBIURG PA 17055-6150 DATE 06-08-2010 ESTATE OF HAAS GLADYS L DATE OF DEATH 10-fl2-2009 FILE NUMBER 21 09-1172 COUNTY CUMBERLAND ACN 101 APPEAL DATE: 08-07-2010 (See reverse side vender Ub,~ectlons ) A~ount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TOs REGISTER. OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 RETAIN_LOWER_FORTION_FOR ~ _ L NE THIS ALONC CUT _YOUR_RECORDS_ _!~ __ _________________ _ _____ _ _ _ REV-1547 EX AFP ~12-09) NOTICE QF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF: HAAS GLADYS LFILE NO.:21 09-1172 ACN: 101 DATE: 06-08-2010 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED APPRAISED VALUE ~F RETURN BASED ON: ORIGINAL RETURN 1. Real Estat• (Schedule A) C1) .0 0 NOTE: To ensure proper C2) .Q 0 credit to your account, 2. Stocks and Binds (Schedule B) submit the upper portion 3. Closely Held'Stock/Qartnership Interest CSchadula C) C3) •©0 of this form with your 4. MortgagesJNo~es Receivable (Schedule D) C4) .0 0 tax payment. 5. Cssh/Bank DeipositslMisc. Personal Property CSchadula E) C5) 8 0 0.0 O d. Jointly Owned Property (Schedule F) Cd) .00 7. Transfers CS~hedule 6) C7) .0 0 8. Total Assets C8) 800_ 0 APPROV ED DEDUCTT~NS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) .0 0 10. Debts/Mortga~je Liabilities/Liens (Schedule I) C10). .0 0 11. Total Deductions I Cil) .0 0 800 00 12. ' Tax Return Nat Value of C12) . 13. Charitable/6bvernmental Bequests; Non-elected 9113 Trusts tSchodule J) C13) .,.... .0 0 14. Net Value of Estate Subject to Tax C14) 800.00 NOTE: If an ass~essaent was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect f~i~tures that include the total of ALL returns asses sed to date. ASSESSMENT OF TAB: 15. Amount of Li~-e 14 at Spousal rate C15) . 00 X 00 = • 00 ld. Amount of Line 14 taxable at Lineal/Class A rate C16) -O D X 0 4 5 ~ •D O 1T. Amount of Lirhe 14 at Sibling rate C17) 8-~~D~ X 12 = 96.00 18. Amount of Lirbe 14 taxable at Collateral/Class B rate C18) • 00 X 15 = . 00 Principal 19 Tait Due C19)a 96.00 . T,Y rQCnrrc. PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID 02-02-2010 D012311 .00 96.00 TOTAL TAX PAYMENT 96.00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE •0© * 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.