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NOTICE OF INHERITANCE TAX pennSy~Van~C~ ~
~:1aP^P'I~'A'I':~ hh~t~~T°t° ~A: LOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES ~ ~ ~~•; j, ~' DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION - ~~ ~-~D~-~T~O~'S AND ASSESSMENT OF TAX REV-1547 EX AFP C12-09)
PO BOX 280b01 ~ ;.~~ ,'.~~ ~- i ~,~. , j ; ;
HARRISBURG PA 17128-0601
~~~~~t~l~,,,,$ ~ ~~ 3~? DATE 11-01-2010
ESTATE OF PEARSALL KEVIN J
DATE OF DEATH 02-14-2010
~~~~~~ ~'~ FILE NUMBER 21 10-0880
~~~~~r,~~~ ~ L~~~~-.~~T COUNTY CUMBERLAND
JAMES D BOGAR CU~~~P~~`_;`~' ~~,' ~'~' , ~,~, ACN 101
1 W MAIN ST APPEAL DATE: 12-31-2010
SHI REMANSTOWN PA 17011 (See reverse side under Dbjections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT-ALONG THIS-LINE----- -'~ --RETAIN LOWER PORTION FOR YOUR-RECORDS E-- -- ---------------
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REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE 0F: PEARSALL KEVIN JFILE N0 .:21 10-0880 ACN: 101 DATE: 11-01-2010
TAX RETURN WAS: CX) ACCEPTE D AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) •0 0 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) 711.58 credit to your account,
0 0 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule .
C) C3} of this form with your
4. Mortgages/Notes Receivable tSchedule D) C4) •0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 3,2 6 8.7 3
6. Jointly Owned Property (Schedule F) C6) 4 7 6.5 9
7. Transfers (Schedule G} C7) .0 0
8. Total Assets c8) 4,456.90
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9} 8.214.8 2
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10} 2,2 9 9.91
11. Total Deductions C11) 10,514.73
12. Net Value of Tax Return C12) 6, 057 .83-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax C14) 6, 057. $3-
NOTE: If an assessment was issued previously, lines 14, 15 and/or lb, 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) .0 0 x 04 5 = .0 0
17. Amount of Line 14 at Sibling rate C17) _~ 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)= .0 0
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-}
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
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ;~~~
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