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iYUG., DEPARTMENT OF R
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION ,,,,~. ~
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AND ASSESSMENT OF TAX REV-1547 Ex AFP C12-09)
PO BOX 280601 ..
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HARRISBURG PA 17128-0601
~~~~ ,~~~, - fj R~ ~% ~ J DATE 06-28-2010
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ESTATE OF BODEK MARTHA B
C~~~~ ~~ DATE OF DEATH 12-26-2009
~~~,+~ ~~~~~ FILE NUMBER 21 10 - 0304
~~~~'~~'~~`D ~~~ ' ~~` COUNTY CUMBERLAND
RONALD E JOHNSON ~.
E ACN 101
78 W POMFRET ST APPEAL DATE: 08-27-2010
CA R L I S L E P A 17 013 (See reverse side under Ob,~eetiwns )
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Asount R•eitted ~
MAKE CHECK'PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR
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REV-1547 EX AFP C12-09) NOTICE OF INNERITANI:E TAX APPRAISfiNENT, ALLOMIANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSE$SNEwT OF TAX
ESTATE OF: BODEK MARTHA BFILE N0.:21 10-0304 ACN: 101 DATES 06-28-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED C ).CHANGED
APPRAISED VALUE OF RETURN BASED Oli: ORIGINAL RETURN
1. Real Estate CSchadulo A) C1) .00 NOTE: To ensure proper
C2) ,0 0 credit to your account,
2. Stocks and Bonds tSchedule B) subMit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) •00 of this for^ with your
4. Mortgages/Notes Receivable (Schedule D) C4) .00 tax payp~ent.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) .0 0
6. Jointly Owned Property (Schedule F) C6) .0 0
7. Transfers (Schedule 6) C7) 91 , 876.55
a. Total Assets C8) 91,.876.. 55
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adn~. Costs/Misc. Expenses tSchsdule H) C9) 13.59 5.43
10. DebtslMortgags Liabilities/Liens (Schedule I) C10) .0 0
C11) 13,595.93
11. Total Deductions 7$, 28'0 • 62
12. Nat Value of Tax Return C12)
13. Charitable/6overna~ental Bequests; Non-elected 9113 Trusts (Schedule J) C13) •0
14. Net Value of Estate Subject to Tax C14) ~~ 78.280.62
NOTE: If an assess~ent was issued previously, lines 14, 15 andlor 18, 17 , id and 19 will
reflect fiBurss that include the total of ALL returns assessed to date.
ASSESS MENT OF TAX:
15. Asount of Line 14 at Spousal rata C15) ~_„~„_~, ~,0 X 00 ~_~~~Q
16. Amount of Line 14 taxable at Lineal/Class A rate C16) __ B • 2$D.,,~ . X 045 " 3, 522.63
17. A~aount of Line 14 at Sibling rate C17) _~, - tt!0 X 12 ~ . 00
18. Asount of Line 14 taxable at Collateral/Class B rate C18) •0 0 X 1 5 : .0 Q
19. Principal Tax Due C19 )= 3,522.63
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TAX CR EDITS:
PAYMENT RECEIPT DISCOUNT c+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
n~_~F:_~n:e CD012514 176.13 3,346.50
TOTAL TAX PAYMENT 3,522.63
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" CCR), YDU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. T~