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NOTICE OF INHERITANCE TAX pennsy van~a ~
AP~~, ~ ~~~t~lAN~E OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION ,~ ~~,I~I~ t /AND ASSESSMENT OF TAX REV-1547 EX AFP C12-09)
PO BOX 280601 ~~~...4LJ I ~-;~"; ~,,+~ t 3 FL R. ~'
HARRISBURG PA 17128-0601
ZQIO JUG _b PM 2: ~ ~1 DATE 06-28-2010
ESTATE OF GRASSMYER MICHAEL J
(,,~.E ~ DATE OF DEATH 12 - 02 - 2007
~~'~ COURT F I LE NUMBER 21 0 7 -1132
COUNTY CUMBERLAND
BRIAN C LINSENBACH ~8~~~~~~ ~~~~ ~' ACN 101
124 W HARRISBURG ST APPEAL DATE: 08-27-2010
P O B 0 X 310 (Sec reverse side under O'J-~eetions
DILLSBURG PA 17019 AaouBt Remitted -~
' MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER Of WILLS
1 COURTHOUSE SQUARE
CARLISILE PA 17013
CUT ALt~NC THIS LINE ~*- RETAIN LOWER PORTION FOIE YOUR RECORDS t~
- - - - - M~'- - - - - - - - - - - - - - - - - - - - - - •• - ~ - - - - ~ - - - •• - - - - - - - ~ - - - IiiVr • rr. - .r .. - ~Y - - - - - - - - - - - -..- - - - - •• - - - - - - - - - - - - - -
REV-1547 EX AFP C12-09~ NflTICE OF INHERITANCE TAX A~pRAISENlENT, ALLOWAi~CE OR
DISALLOWANCE OF DEDUCTIONS ANA ASSESSMENT OF TAX
ESTATE OF: GRASSMYER MICHAEL JFILE N0.:21 07-1132 ACN: 101 DATE: Ob-28-2010
I .q Ilrl III.
TAX RETURN .WAS: CEO ACCEPTED AS FILED C ) CHANGED
I
APPRAISED VALUE OF RETI~RN BASED ON: ORIGINAL RETURN
•~ 0 NOTE: To ensure proper
1. Real Estate (Schedule A) C1)
2. Stocks and Bonds (Schedule B) C2) .0 0 credit to your account,
•BQ submit the uppor portion
3. Closely Held Stock/Partnership Interest CSchedula 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 CSchedula E) c5) 2,575.06
6. Jointly Owned Property (Schedule F) C6) •0 0
7. Transfers (Schedule G) C7) •O Q
8. Total Assets C8) 2 , S.L5~ 6
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) I I~~'S
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 3,040.37
11. Total Deductions C11) 12, 625.00
12. Net Value of Tax Return C12) 10,049.94-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) •~'~
14. Net Value of Estate Subject to Tax C14) 10, 049.94-
NOTE: If an asssss~ent was issued previously,
reflect figures that include the total
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Lfne 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns asssss~d to date.
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
C15) .00 X
C16)~, - Ad X
C17) I I - ~Q X
C18) • 00 )(
00 = .00
045 = .00
12 .00
15 = .00
C19)~ . OQ
PAYMENT
DATE ,RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) 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•' (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.