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NOTICE OF INHERITANCE TAX pennsylvan~a ~~ ~ Y
BUREAU OF INDIVIDU ~~d~€~t~';~ ;`~ ''~~ ISEMENT, ALLOWANCE oR DISALLOWANCE DEPARTMENT OF REVENUE
~~-~ "` ' - -~-~ ~ '~~-• DEDUCTIONS AND ASSESSMENT OF TAX REV'-1547 EX AFP c12-log
INHERITANCE TAX DIVISION {{~~
PO BOX 280601 ~~t` r~ ~`, ` h ~ ' '~~
HARRISBURG PA 17128-0601 `' `' ~ i "' ~ ~ ~~ °-~'~
. DATE 12-27-2010
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`-`" i '''~'~ ~~ ~~~~ ti4 ~ ~ ESTATE OF BAILEYS ELIZABETH C
DATE OF DEATH 04-03-2D10
w~.tt~',~ (~`:~' FILE NUMBER 21 10 - 0448
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J~? COUNTY CUMBERLAND
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CHARLES ~.~~P~~~iI.,~°~;,;~ ; ~~{, l PA ACN 101
3528 BRISBAN ST ~ APPEAL DATE: 02-25-2011
(See reverse side under Objections
HARRISBURG P A 17111
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
RETAIN-LOWER-PORTION-FOR-YOUR-RECORDS-~E-------
CUT ALONG THIS LINE -~--
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REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: BAILEYS ELIZABETH (FILE N0 .:21 10-0448 ACN: 101 DATE: 12-27-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) .0 0 NOTE: 7o ensure proper
2. Stocks and Bonds (Schedule B) (2) .0 0 credit to your account,
submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule .0 0
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 (Sche dule E) C5) 7,7 7 6.19
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) (7) .0 0
8. Total Assets C8) 7 , 776.19
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Sche dule H) C9) 1.7 01.5 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .0 0
11 . Total Deductions C11) 1 , 701.50
12. Net Value of Tax Return t12) 6, 074.69
13. Charitable/Governmental Bequests; Non-elected 91 13 Trusts tSchedule J) C13) .0 0
14. Net Value of Estate Subject to Tax C14) 6, 074.69
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) _0 0 x 0 4 5 = .0 0
17. Amount of Line 14 at Sibling rate C17) b .074.70 X 12 = 728.96
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 = .0 0
19. Principal Tax Due C19)= 728,96
TAY rDFT1TTC r
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
11-05-2010 CD013602 .00 728.96
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX PAYMENT 728.96
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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