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NOTICE OF INHERITANCE TAX pCC~I1Sy~VG~I1~a ~
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ,-;-.-~"--~-~• ~• -~ -•~- ^r` '
INHERITANCE TAX DIVISION ~~ ' DE-1,iUC'~I'b1~tS(_/~ND ASSESSMENT OF TAX REV ••1547 EX AFP C12-09)
PO BOX 280601 -
HARRISBURG PA 17128-0601
DATE 08-09-2010
~_ ? i4 °~' ` `~ ~, ~`,;~; ~' : ~ ~ ESTATE OF EWI NG SEYMOUR A
DATE OF DEATH 01-02-2009
r,~ r,~--, ;~~- FILE NUMBER 21 09-0110
"'T-• ~ ~•~ COUNTY CUMBERLAND
ROBERT G FREY ~~~~"' ~ - '' ' ` ACN 101
~~' `i ~~' APPEAL DATE: 10-0~B-2010
5 S HANOVER ST *-~•-~
C A R L I S L E P A 17 013 (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 "F OR_YOUR_RECORDS_ f- ___ _______________
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REV-1547 EX AFP (12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: EWING SEYMOUR AFILE N0.:21 09-0110 ACN: 101 DATE: 08-09-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN N0. O1
1. Real Estate (Schedule A) (1) .0 0 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) 54,967.00 credit to your account,
.0 0 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) L3) 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) C5) .0 0
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) (7) .0 0
8. Total Assets c8) _ 54 , 967.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) .0 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .0 D
11. Total Deductions C11) _ .0 0
12. Net Value of Tax Return C12) _ 54, 967.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) _ .0 0
14. Net Value of Estate Subject to Tax (14) 3,687,847.00
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) 3,087,847.00 X 00 ~_ .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16), 600.000.00 X 045 - 27, 000.00
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 C18) .0 0 X 15 - .0 0
19. Principal Tax Due C19)- 27,000.00
TAY f RCTITTC r
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-) AMOUNT PAID
03-24-2009 CD011034 1,350.00 25,650.00
10-01-2009 CD011823 .00 b7.50
TOTAL TAX PAYMENT 27,067.50
BALANCE OF TAX DUE 67.50CR
INTEREST AND PEN. .00
TOTAL DUE 67.50CR
* 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 INSTRUCTIDNS.
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