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;<,;_.~ ~, ~~yr, NOTICE OF INHERITANCE TAX
ALLOWANCE OR DISALLOWANCE
~~ A~'~PISEMENT
pennsylvan~a ~~~
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BUREAU OF INDIVIDUAL TAXErS ,
~,,~ DEPARTMENT OF REVENUE
~
INHERITANCE TAX DIVISION ;j`~_,l,~lwii 4i if.eQ. DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (12-09) ___ _._
PO BOX 280601
HARRISBURG PA 17128-0601
~~~ ~ 7 ~~'~' ~ ~ DATE 12 - 13 - 2 010
C~.E~,K(,IF
O~PH.~~~'~ C~t~R~'
ANTHONY J- NE~~~I`~0 ESQ
840 E CHOCOLATE AVE
HERSHEY PA 17033
ESTATE OF HARTMAN MAE E
DATE OF DEATH 01-09-2010
FILE NUMBER 21 10-0123
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 02-11-2011
(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 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 OF: HARTMAN MAE EFILE N0.:21 10-0123 ACN: 101 DATE: 12-13-2010
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) 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 (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property tSchedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
cl) .00
c2) .00
c3) .00
c4) .00
c5) 14, 913.91
c6) .00
C7) 316 , 492.88
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
cs) 331 , 406.79
c9) 8 , 269.89
clo) .00
11. Total Deductions til) 8,269.89
12. Net Value of Tax Return t12) 323, 136.90
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax C14) 323, 136.90
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) ~ .16.90 X 045 = 14,541.16
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 ra te (18) .0 0 X 15 = .0 0
19. Principal Tax Due (19)= 14,541.16
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
10-08-2010 CD013470 .00 12,388.34
INTEREST IS CHARGED THROUGH 12-28-2010
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT 12,388.34
BALANCE OF TAX DUE 2,152.82
INTEREST AND PEN. 18.94
TOTAL DUE 2,171.76
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIDNAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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