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Home My WebLink About01-31-11Q_ --~ NOTICE OF INHERITANCE TAX pennsylvan~a ~ ~ F~ _ ., BUREAU OF INDIVIDUAL TAXES 13PPRA'ISEMENT, ..A4L;E.OWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE t~ -- INHERITANCE TAX DIVISION OGF DEDUCTI©N~ AND ASSESSMENT OF TAX REV-1547 EX AFP C12-10) PO BOX 280601 _'. HARRISBURG PA 17128-0601 DATE 01-25-2011 ' • ESTATE OF ROMBERGER WILMER L _ DATE OF DEATH 05-07-2010 ~.=•~~_`'=~~'~~~'~'~ FILE NUMBER 21 10-0514 CUMBERLAND ~ _ _- ' ~ . '' COUNTY RONALD K MOORE ~,',_ S• ACN 101 601 TOWER RD APPEAL DATE: 03-26.-2011 E N O L A P A 17 0 2 5 (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 _~-~1__RETAIN_LOWER_PORTION FOR YOUR RECORDS E-- _ _______________ REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF: ROMBERGER WILMER LFILE N0.:21 10-0514 ACN: 101 DATE: 01-25-2011 TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN N0. O1 1. Real Estate (Schedule A) (1) .0 0 NOTE: To ensure proper 2. Stocks and Bonds (Schedule B) C2) 469, 374.54 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) C5) 9 2,9 5 2.5 8 6. Jointly Owned Property (Schedule F) (6) .0 0 7. Transfers (Schedule G) (7) .0 0 8. Total Assets C8) _ 562,327.12 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 5 7.4 0 0.9 2 10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 8,4 6 3.0 7 C11) 65,863.99 11. Total Deductions _ 463.13 496 12. Net Value of Tax Return C12) _ , 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) _ .0 0 f Estate Subject to Tax t V l N (14) _ 496,463.13 14. ue o a e 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) .00 X 00 =- .00 16. Amount of Line 14 taxable at Lineal/Class A rate C16) 49S .798 _ 13 X 045 °` 22, 310.92 17. Amount of Line 14 at Sibling rate C17) .00 X 12 `' .00 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 665.00 X 15 -- 99.75 19 Principal Tax Due C19)= 22,410.67 . TAY rQCnTTC. PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID 08-05-2010 CD013168 1,100.00 20,900.00 11-17-2010 CD013654 .00 390.14 INTEREST IS CHARGED THROUGH 02-09-2011 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM * IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. TOTAL TAX PAYMENT 22,390.14 BALANCE OF TAX DUE 20.53 INTEREST AND PEN. .00 TOTAL DUE 20.53 IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FDRM FOR INSTRUCTIONS. ~~