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Home My WebLink About07-06-10BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO dOX 280601 FNRRISBtNt6 PA 17128-0601 JOHN H B.ROUJOS ESQ 4 N HANOVER ST ~.,;-,~, ~~-~O,T ~n~F ''~ NHERITANCE TAX A1~~~~5~~'~~~#~l.~?~~1ANCE ®R DiSALOM1ANCE ~~~.~3~, ~, ~,~j4ND ASSESSMENT OF TAX ZIO Jul. -6 P~~~ 2~ ~~ ~} CuLR~~R'~C flt~,+~y' t ~€l~t-i~"1iVrJ LVV~T CARLISLE ~PA 17013 cl) 160, 000.00 C2) . QO C3) .00 C4) .00 C5) 10,511.55 C6) • ©0 c7) .00 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS t~ _ _ - - - - - ~. - - r - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~. ~. - - - - r - - - ~ r r .. - - -~r -- - - - - - - - - - - - - - - - - - - - - - - - - - - REV-1547 EX AFP C12-09) NOTICE OF INHERITANCE TAX APAIS~~iENT, ALLOIitANCE OR DISALLOWANCE OF DEDUCTIONS AID ASSESSMENT OF TAX ESTATE OF: MURTOf F ROBERT GFILE N0.:21 09-0687 ACN: 101 DATES 06-21-2,010 TAX RETURN WAS.: CX) ACCEPTED AS FILED C ) CHANGED APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Hold Stock/Partnership Interest CSchedula C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property CSchedula F) 7. Transfers (Schedule G) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage liabilities/Liens (Schedule I) pen~sy~va~ DEPARTMENT OF REVENUE REV-1547 EX AFP (12-09) NOTE: To ensure proper credit to your account, submit the upper 'portion of this form with your tax payment. cs) 170 , 511 X5„5_ C9)--_ 3.834.0 Clo) 1, 304.00 il. Total Deductions C11) 5,138.0 12. Net Value of Tax Return C12) 165,373.5 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) 14. Net Value of Estate Subject to Tax C14) 165,373.55 NOTES if an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 artd 19 wi'11 reflect fi~pures that include the total of ALL returns assessed to d ate. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate C15) .00 X 00 .00 16. Amount of Line 14 taxable at Lineal/Class A rate C16) 16~.37~~ X 045 ~~ 7 441.8 17. Amount of Line 14 at Sibling rate C17) ~,_~,0 X 1 2 = .0 18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 1 5 = .0 19. Principal Tax Due C14)= 7,441.8 TAX CREDITS: PAYAENT REGEiPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 02-26-2010 CD012399 .00 7,441.81 TOTAL TAX PAYMENT 7,441.81 BALANCE OF TAX DUE ~0Q INTEREST AND-PEN. .00 TOTAL DUE .00' DATE 06-21-2010 ESTATE OF MURTOFF ROBERT G DATE OF DEATH 07-05-2009 FILE NUMBER 21 09-0687 COUNTY CUMBERLAND ACN 101 APPEAL DATE: 08-20-2010 (See reverse side under Objec~ns) Amount R®~itted MAKE CHECK'PAYAHLE AND REMIT PAYMENT TO: REGISTER OF WILLS ~ COURTHOUSE SQUARE CARLISLE PA 17013 * 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. t~(~J1