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NOTICE OF INHERITANCE TAX pennsylvan~a ~
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AI~flRAISEMENT, ALLOWANCE OR DISALLOWANCE DEF'ARTMENTOFREVENUE
BUREAU OF INDIVIDIiAL. TAXES '- -•
INHERITANCE TAX DIVISION , . " ' ~' OF DEDUCTIONS AND ASSESSMENT OF TAX REY-1547 EX AFP (12-04)
PO BOX 280601 -
HARRISBURG PA 17128-0601
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10813 ROXBURY RD
PO BOX 55
ROXBURY PA 17251
DATE 07-26-2010
ESTATE OF BEIDEL BEULAH F
DATE OF DEATH 12-24-2009
FILE NUMBER 21 10-0100
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 09-24-2010
(See reverse side under Objections
Amount Remitted -~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
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: BEIDEL BEULAH FFILE N0.:21 10-0100 ACN: 101 DATE: 07-26-2010
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
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)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
C1) .00
c2) .00
t3) .00
t4) .00
C5) 11 , 300 .43
t6) .00
t7) .00
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
C8) _. 11 , 300 .43
t9) 9 , 585.50
clo) .00
C 11) 9 , 585.50
11 . Total Deductions _ 714.93
1
12. Net Value of Tax Return (12) _ ,
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) t13) _ .0 0
Tax
t t
b
t
S (14) 1 , 714.93
14. o
u
jec
e
Net Value of Esta _
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 t16) .714.93 X 045 = 77.17
17. Amount of Line 14 at Sibling rate C17) .0 0 X 12 = .0 0
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .0 0 X 15 = .0 0
19. Principal Tax Due C19) 77.17
TAY f DCTITTC.
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
05-03-2010 CD012690 .00 77.17
TOTAL TAX PAYMENT 77,17
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 INSTRUCTIONS.
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