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BUREAU OF INDIVIDUAL ,T;A)CE-S
INHERITANCE TAX DIVISION .
PO BOX 280601
HARRISBURG PA 17128-0601
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-- ~-• -;~ .NOTICE OF INHERITANCE TAX
" ~A~PISEMENT, ALLOWANCE OR DISALLOWANCE
(tF DEDUCTIONS AND ASSESSMENT OF TAX
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CDHICK 8~ ASSOCS
390 ALEXANDER SPRING
CARLISLE PA 17015-9129
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t5) 22, 159.94
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CUT ALONG T_NIS LINE _ ---) R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS F-- _ _____ _________
REV-1547 EX AFP-C12-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR -
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: BRINTON DONALD EFILE N0.:21 08-0937 ACN: 101 DATE: 08-02-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) 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 tSchedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers tSchedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses tSchedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
,~
Pennsylvania ~
DEPARTMENT OF REVENUE ,
REV-1547 IX AFP (12-09)
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
t8) _ 22 159.94
t9). 8 , 102.92
tlo) 474.00
11. Total Deductions tll) _ 8,576.92
12. Net Value of Tax Return t12) _ 13,583.02
13. CharitablelGovernmental Bequests; Non-elected 9113 Trusts (Schedule J) t13) _ .0 0
14 Net Value of Estate Subject to Tax (14) 13,583.02
. _
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 t15) .0 0 X 0 0 = .0 0
16. Amount of Line 14 taxable at Lineal/Class A rate t16) x 04 5 = 611.24
17. Amount of Line 14 at Sibling rate t17) _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 (19)= 611.24
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT t+)
INTEREST/PEN PAID t-)
AMOUNT PAID
03-26-2010 CD012517 22.80- 634.37
TOTAL TAX PAYMENT 611.57
BALANCE OF TAX DUE .33CR
INTEREST AND PEN. .00
TOTAL DUE .33CR
* 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.
DATE 08-02-2010
ESTATE OF BRINTON DONALD E
DATE OF DEATH 09-10-2008
FILE NUMBER 21 OS-0937
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 10-01-2010
(See reverse side under Objections
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
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