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Home My WebLink About07-06-10,,,m..-„_~.a._~.m.~-, ~~_~n,-mom. .nr~.. ~. NOTICE OF INHERITANCE TAX penn~yLVania BUREAU OF INDIVIDUAL TAXES APPf'~f '-~~1CE OR DISALLOWANCE DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION 0~i'~^_-~E~~~`QNR t;~f~D ASSESSMENT OF TAX REV-1547 EX AFP C12-09) PO ptll( 280601 !~`L.{..~ ~' • ~i ~ 'tea- d- c. NARRIS8l8t6 PA 17128-0601 ~~~~ ~~~ _~ ~~ ~-; ~ ~ DATE 06-21-2010 ESTATE OF MINICH CONNIE M ~~~~ Q~ DATE OF DEATH 01-14-2009 (~"~'rJ CflURT F I L E NUMBEIR 21 0 9- 0 0 91 COUNTY CUMBERLAND ROBERT G FREY ~~~~ •"i~=~~~~~' ~'~ ~ ~~'~ ACN 101 5 SOUTH HANOVER ST APPAL DATf: 08-20-2010 CARLISLE PA 17 013 (See reverse side under Obfertions ) Auount Rsu~ttsd MAKE CHECKIPAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THLS LINE ~- RETAIN LOWER PORTION FOR YOU RECORDS f~ ______________ REV-1647 EX I~FP C12-fl9) NOTICE OF INHERITANCE TAX APPR AISE ENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE. OF: MINTCH GONNIE MFILE N0.:21 09-0091 ACN: 101 DATES 06-21-2010 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Roal Estato (Schedule A) ci) 72,865.80 NOTE: To ensure proper C2) .0 0 credit to your account, 2. Stocks and Bonds (Schedule B) subait tho upper portion 3. Closely Held Stock/Partnership Interest (Schedule C) C3) .0 0 of this form with your 4. Mortgages/Notes Receivable (Schedule D) C4) .0 0 tax payment. 5. Cash/Bank Deposits/Misc. Personal Property CSchodulo E) C5) .0 0 6. Jointly Owned Property (Schedule F) C6) .0 0 7. Transfers (Schedule G) C7) .0 0 8. Total Assets c8) 72 , 865.80 APPROV ED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expensos CSchodulo H) Cg)_ ,_ 26 3.0 0 10. Debts/Mortgage Liabilities/Liens CSchodulo I) C10) •0 0 C11) 263.00 11. Total Deductions 72,b02.80 12. Not Value of Tax Return C12) 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) •0-0 14. Net Value of Estate Subject to Tax C14) 72, 602.80 NOTE: If an assess~•nt was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 Nill r®flact figures that include th• total of ALL returns ass®ss•d to date. ASSESS MENT OF TAX: ~ 2~©? e ~ X 00 = .00 15. Amount of Line 14 at Spousal rate C15)~ ,~ , ~ , „ 16. Amount of Line 14 taxable at Lineal/Clsss A rate C16) -4 0 x 0 4 5 = .0 0 17. Amount of Line 14 at Sib13n0 rate C17) .0 0 X 1 2 $ .0 0 18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 1 5 = .0 0 19. Principal Tax Due C19 )= .00 rev ro ~nTrc. PAYMENT DATE RECEIPT NUMBER DISCOUN C+) INTERESTIPEN PAID C-) AMOUNT PAID TOTAL TAX PAYI4ENT .OD 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" tCR), YOU MAY BE DUE FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.