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NOTICE OF INHERITANCE TAX pennsylvan~a ~. ~
~~~~~:~!rc ~ ~LLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES _ ~-
INHERITANCE TAX DIVISION `~`~'~EfD~U~,1T}I;OMIS AND ASSESSMENT OF TAX REV-1547 EX AFP (12-09)
PO BOX 280601 ~~~~-~`~! ~- ~ `tJr ~.'i'«.e,'J
HARRISBURG PA 17128-0601
~~t~~~C ~ Q a~ ~~; i ~" DATE 12-06-2010
ESTATE OF GRAY LOUISE A
CL~~~ Q~ DATE OF DEATH 01-14-2010
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j~~ F I L E N U M B E R 21 10 - 013 7
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. ACN 101
PO BOX 845 APPEAL DATE: 02-04-2011
5 0 8 N 2 N D S T (See reverse side under Objections )
HBG PA 17108-0845 Amount Remitted 1
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 ~
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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 OF: GRAY LOUISE AFILE N0 .:21 10-0137 ACN: 101 DATE: 12-06-2010
TAX RETURN WAS: (X) ACCEPTE D AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .0 0 NOTE• To ensure proper
2. Stocks and Bonds (Schedule B) (2) 727, 398.94 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) •0 0 submit the upper portion
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) 125, 776.30
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) (7) .0 0
8. Total Assets c8) 853, 175.24
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (g) 9,5 38.4 6
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 3,0 0 6.6 7
11. Total Deductions C11) 12,545.13
12. Net Value of Tax Return C12) 840,630.11
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax (14) 840,630.11
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) 840.630.11 x 045 = 37,828.35
17. Amount of Line 14 at Sibling rate (17) .0 n 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)= 37,828.35
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
10-04-2010 CD013459 .00 37,828.35
TOTAL TAX PAYMENT 37,g2g,35
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" (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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