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NOTICE OF INHERITANCE TAX pennCJy~Van~a ~ , •~
BUREAU OF INDIVIDUAL TAXES ' .r'. 4APPRAISEMENT, ALLOWANCE OR DISALLOWA CE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVI$I.ON OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (12-09)
PO BOX 280601 ~ - - _~ -
HARRISBURG PA 17128-0601
~~-,, ; {;^ -,~~ ~-~~ ~~ '~~ DATE 07-26-2010
ESTATE OF WELKER EVELYN M
DATE OF DEATH 02-28-2010
~-'? -~~~!' r:' FILE NUMBER 21 10-042b
~~;r';-,-, ,,..,~,,,l~T CUMBERLAND
~,{ ~ .. _ ~,n• COUNTY
THOMAS' E FLOWER -, - ACN 101
2109 MARKET ST APPEAL DATE: 09-24-2010
CAMP H I L L P A 17 011 ( See reverse side under Objections )
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE _ --~ _-RETAIN LOWER POR_TIDN_ FOR YOUR RECORDS ~ _
REV-1547 EX AFP 012-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: WELKER EVELYN MFILE N0.:21 10-0426 ACN: 101 ________
OR- ___--_
DATE: 07-26-2010
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .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) (3) .0 0 of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) •0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 7,2 b1.6 $
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) (7) .0 0
8. Total Assets (8) _ 7 , 261.68
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (g) 2,6 5 3.4 3
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 4,6 08.2 5
(11) 7,261.6$
11. Total Deductions _
0 0
12. Net Value of Tax Return C12) _ .
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) _ .0 D
14. Net Value of Estate Subject to Tax (14) _ .0 0
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 (15) .0 0 X 0 0 = .0 0
16. Amount of Line 14 taxable at Lineal/Class A rate (16) _n 0 x 0 4 5 = .0 0
17. Amount of Line 14 at Sibling rate (17) _ DO X 12 = . 00
18. Amount of Line 14 taxable at Collateral/Class B rate 018) .0 0 X 15 .0 0
19. Principal Tax Due (19 )° .0 0
TAY (_RFT)TTC
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
TOTAL TAX PAYMENT .00
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
FDR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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