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NOTICE OF INHERITANCE TAX pennsylvan~a ~= ~
BUREAU OF INDIVID ^~ ~-` `~' x~{~~AISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE Y
~~ '~~~~~- -''^' ' '»• `'CIF DEDUCTIONS AND ASSESSMENT DF TAX REV-1547 EX AFP clz-log
INHERITANCE TAX DIVISi~4~,u, ., ~..,.. ,-, u. ~ ;,~ `.~
PO BOX 280601 ~` ~ ~ ,~~, ,_; ; ,,~ ~ ~,~
HARRISBURG PA 17128-0601`"
DATE 12-27-2010
r-~' ~ ~~~ ~~~ ~~ ~~~ ~~ `~ ~ ESTATE OF PETERS GRACE W
DATE OF DEATH 08-28'2009
~;}-~~~ (,~f- FILE NUMBER 21 10-0234
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C}~'Pr~-~~~~ :.~ ~Lf~S~T COUNTY CUMBERLAND
TERESA•~~i~II~~~~x'`~'r.~ c,'.i~ ~~ ACN 101
156 STONY POINT AVE APPEAL DATE: 02-25-2011
(See reverse side under Objections )
S H I P P E N S B U R G P A 17 2 5 7
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
-RETAIN-LOWER-PORTION FOR YOUR RECORDS ~
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: PETERS GRACE WFILE N0 .:21 10-0234 ACN: 101 DATE: 12-27-2010
7AX RETURN WAS: C X ) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .0 0 NOTE: To ensure proper
C2) ,0 Q credit to your account,
2. Stocks and Bonds (Schedule B) 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) C4) .0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Sche dule E) C5) 2,1 9 8.4 8
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) (7) .0 0
8. Total Assets C8) 2, 198.4$
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Sche dule H) C9) 1.617.0.0
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 5,5 0 5.3 5
11 Total Deductions C11) _ 7, 122.35
. C 12) 4 , 923.87 -
12. Net Value of Tax Return 0 0
13. Charitable/Governmental Bequests; Non-elected 91 13 Trusts (Schedule J) C13) _ .
14. Net Value of Estate Subject to lax (14) _ 4,923.87-
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 04 5 = .0 0
17. Amount of Line 14 at Sibling rate C17) _ 00 X 12 = . 00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 = .0 0
19. Principal Tax Due C19)= .0 0
TAY f_RFTITTC
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX PAYMENT .00
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.
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