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~---.,.._.._,__ NOTICE OF INHERITANCE TAX pennsylvan~a = ~ ~
AQP-R'A~-$~E~I~FT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OFRE:VENUE
BUREAU OF INDIVIDUAL TAXES ~ fr•
INHERITANCE TAX DIVISION :_OF, DEDUCTIONS AND ASSESSMENT OF TAX REV-].547 EX AFP C12-09)
PO BOX 280601 `" ~-
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HARRISBURG PA 17128-06D1
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STEPHANIE E CHERTOK ~ ' ~~ ' j :a
61 W LOUTHER ST
CARLISLE PA 17013
DATE 07-26-2010
ESTATE OF TESLAR STEPHEN D
DATE OF DEATH 08-27-2009
FILE NUMBER 21 09-0838
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 09-24-2010
(See reverse side under Objections
Amount Remittedl
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SAUARE
CARLISLE PA 17013
CUT-ALONG THIS LINE----- ~ --RETAIN LOWER-PORTION-FOR-YOUR-RECORDS- ~ -------------------
REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: TESLAR STEPHEN DFILE N0.:21 09-0838 ACN: 101 DATE: 07-26-2010
TAX RETURN WAS: C ) ACCEPTED AS FILED C X) CHANGED $EE ATTACHED NOTICE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
cl) .00
c2) 1 , 280.68
C3) .00
C4) .00
C5) 21 , 300.96
C6) .00
C7) .00
NOTE: To ensure proper
credit to your account,
.submit the upper portion
of this form with your
tax payment.
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
c8) 22 , 581.64
C9) 2 , 838.71
clo) 3,983.74
11. Total Deductions C11) 6,822.45
12. Net Value of Tax Return C12) 15,759.19
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax (14) 15,759.19
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate C15) .0 0 X 0 0 _ .0 0
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 1 4 , 759.1 9 x 045 '= 664.16
17. Amount of Line 14 at Sibling rate C17) _ 00 X 12 ~_ . 00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) 1 , 000.00 X 15 ~= 150.00
19. Principal Tax Due C19)= $14.16
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
11-1b-2009 CD011999 35.53 675.00
04-29-2010 CD012674 .00 103.63
TOTAL TAX PAYMENT 814.16
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), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRl1CTI0NS.
tµ:
REV-1470 EX (Ot-10) ,
~ enns lvania INH
p Y ERITANCE TAX
DEPARTMENT OF REVENUE EXPLANATION
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Box 280601
R 1 -0 01
DECEDENT'S NAME FILE NUMBER
Stephen D. Teslar 2109-0838
REVIEWED BY ACN
Destiny S.R. Brown 101
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
G ~ ~ Department will bill joint owner separately.
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