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BUREAU OF INDIVIDUAL TAXES ~ ~. '- ,
INHERITANCE TAX DIVISION t i~t~~'~' `~~O~T1~'Db~TIONS AND ASSESSMENT OF TAX
PO BOX 280601
HARRISBURG PA 17128-0601
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H ANTHONY ADAMS
49 WEST ORANGE ST STE 3
SHIPPENSBURG PA 17257
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DEPARTMENT OF REVENUE '
REV-1547 IX AFP C12-10)
DATE 12-20-2010
ESTATE OF ZOOK JEREMIAH S
DATE OF DEATH 09-22-2009
FILE NUMBER 21 09-0947
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 02-18-2011
(See reverse side under Objections )
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
ETA_IN LOWER POR_TION_ FOR YOUR
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THIS LINE
CUT ALONG RECORDS ~ _ ___ ___________
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REV-1547 EXlAFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEM ENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSES SMENT OF TAX
ESTATE OF: ZOOK JEREMIAH SFILE N0.:21 09-0947 ACN: 101 DATE: 12-20-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) 284,268.60 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .0 0 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 (Schedule D) (4) .0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) t5) 44,332.98
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) C7) .0 0
8. Total Assets c8) 32$ , 601 .58
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 10.612.15
10. Debts/Mortgage Liabilities/Liens tSchedule I) C10) 69, 124.34
11. Total Deductions C11) 79,736.49
12. Net Value of Tax Return C12) 248,865.09
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedu le J) C13) .0 0
14. Net Value of Estate Subject to Tax C14) 248,865.09
NOTE: If an assessment was issuedpreviouslY, 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
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
c15) .00 X 00 = .00
c16) x 045 = 11,198.93
c17) .00 x 12 .00
cls) .00 X 15 = .00
c19)= 11, 198.93
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
08-10-2010 CD013195 54.42- 11,253.35
BALANCE OF UNPAID INTEREST/PENALTY AS OF 08-11-2010
TOTAL TAX PAYMENT 11,198.93
BALANCE OF TAX DUE .00
INTEREST AND PEN. 5.94
TOTAL DUE 5.94
* 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.