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~~-,y .Z,I~E OF INHERITANCE TAX pennsyLvan~a ~
BUREAU OF INDIVIDUAL TAXES APPR`A~I`S' ~1~'i1~',~_;9Q't NCE OR DISALLOWANCE DEPARTMENT OF REVENUE
ASSESSMENT OF TAX ~ ~~~~~~~
INHERITANCE TAX DIVISION OF j~~~(~~?I;n~ONS,"~+l,p~ REV-1547 EX AFP C12-09)
PO BOX 280601
HARRISBURG PA 17128-0601
~~~~Q~C. iQ ~~i~: '?"DATE 12-06-2010
ESTATE OF DREZEK BETTY J
~~~~ O~ DATE OF DEATH 01-13-2010
d~~
~~~ ~~UR~ FILE NUMBER 21 10-0141
CUf~~8~~3-~~~'~~ ~~~~
~A COUNTY CUMBERLAND
,
H ANTHONY ADAMS ACN 101
STE 3 APPEAL DATE: 02-04-2011
4 9 W O RANG E S T (See reverse side under Objections
SHIPPENSBURG PA 17257 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS 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: DREZEK BETTY JFILE N0 .:21 10-0141 ACN: 101 DATE: 12-06-2010
TAX RETURN WAS: CX) ACCEPTE D AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) 73,500.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) .0 0 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) C4) •0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 9,2 64.14
6. Jointly Owned Property (Schedule F) C6) .0 0
7. Transfers (Schedule G) C7) .0 0
8. Total Assets C8) 82, 764.14
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 11.9 8 0.9 6
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 9,5 2 5.6 6
11 . Total Deductions C 11) 21 , 506.62
12 • Net Value of Tax Return C 12) 61 , 257.52
13. Charitable/Governmental Bequests; Non-elected 9113 Tr usts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax C14) 61 , 257.52
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) .0 0 X 0 0 = .0 0
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 61 S7 . S x 045 = 2, 756.59
17. Amount of Line 14 at Sibling rate (17) _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)= 2, 756.59
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
09-28-2010 CD013426 .00 2,756.59
TOTAL TAX PAYMENT 2,756.59
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.