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NOTICE_40F ;INHERITANCE TAX ~}E~ts~rLva'ni~
~~ ~LI~bWANCE OR DISALLOWANCE
ENT OF REVENUE
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TAXES ~
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BUREAU OF INDIVIDUAL
INHERITANCE TAX DIVISION ~~ ~ C7`I~I,NR "AMID
t aS~ESSMENT OF TAX REY-1547 EX AFP C12-09)
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NARRIS8tUt6 PA 17128-0601
~~~Q Ju` _5 P~ ~: ~Q DATE 06-21-20L0
ESTATE OF ERNST DENNIS A
~~~ Q~ DATE OF DEATH 06-22-2009
a~~~~,s ~~~~j FILE NUMBER 21 09-0654
~~~~~~~
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~~' COUNTY CUMBERLAND
NflRA F BLAIR --'
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~• ACN 101
5440 JONESTOWN RD APPEAL DATE: OB-20-2010
(See reverse side rtnder Qbjectlrixs)
PO BOX 6216 ~
HARRISBURG PA 17112-0216 ~
AB,ount Re~itted ~
MAKE CHECK PAYAHLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS F
REY-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEl~ENT, ALLOWANCE
DISALLOWANCE OF DEDUCTIONS AND ASSE SMENT OF TAX
ESTATE 0Fs ERNST DENNIS AFIiE NO.s21 09-0654 ACN: 101 ______________
OR
DATES 06-21-2x10
TAX RETURN WAS: C~() ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) .0 0 NOTE.: To ensure proper
C2) .0 0 credit to your account,
2. Stocks and Bonds (Schedule B) submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .0 0 of this form with your
4. MortgageslNotes Receivable CSchadule D) C4) .0 0 tax pay~ent.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 16,274.5.1
6. Jointly Owned Property (Schedule F) C6) .0 0
7. Transfers CSchadule 6) (7) .0 0
8. Total Assets C8) 16 , 274.51
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchadule H) Cg) 8.38 6.3 0_
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 9.7 1 7.9 9
C11) 18,104.29-
il. Total Deductions 82
.7
1
9
12. Net Value of Tax Return (12) :
~
_
,.
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchadule J) C13) .00
14. Net Value of Estate Subject to Tax C14) 1,829..78-
NOTE: If an assess ant was issued previously, lines 14, 15 andtor 16, 17 , 18 and 19 will
reflect fi~lures that include the total of .ALL returns assessed to date.
ASSESSMENT OF TAX:'
00
00
~ .00
15. Amount of Line 14 at Spousal rate C15) . X
16. Amount of Line 14 taxable at Lineal/Class A rate tl6) -d D x 0 4 5 a .0 0
17. Amount of Line 14 at Sibling rate C17) _0 0 X 1 2 g .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 ) .0 0'
rax ro cntrc.
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) ANOUN7 PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .OD
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REF4ECTED AS A "CREDIT" CCR). YOU MAY ~E DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS,;,.``4~'~
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