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NOTICE ,QF w~NHERITANCE TAX Pennsylvania ~~y ~
BUREAU OF INDIVIDUAL TAXES A~~b~SEMEN.T'., A',LI~bWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION QF DEDUCTIONS "'AND ASSESSMENT OF TAX
PO BOX 280601 ~ L _. ,~ REV-1547 IX AFP (12-10)
HARRISBURG PA 17128-0601
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MARK W ALLSHOUSE ESQ ~~-~~'~'f' ~ "~ ~~ '~~ ~ ~ ~ ~'~
4833 SPRING RD
SHERMANS DALE PA 17090
DATE 01-25-2011
ESTATE OF CAMPBELL SR RODNEY L
DATE OF DEATH 08-22-2009
FILE NUMBER 21 09-0841
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 03-26-2011
(See reverse side under Objections)
Amount Remitted-
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALON_6 THIS LINE -- ~ R_ETA_IN LOWER POR
TION
FOR YOUR RECORDS E-~
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_
REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE _
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESS MENT OF TAX
ESTATE OF: CAMPBELL SR RODNEY LFILE N0.:21 09-0841 ACN: 101 DATE: 01-25-2011
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) 123, 000
00
2. Stocks and Bonds (Schedule B) C2) .
8 6.3 6 NOTE: To ensure proper
credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .0 0 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D)
C4)
00 of this form with your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) .
7,0 6 8.28 tax payment.
6. Jointly Owned Property (Schedule F) C6) 74 9.21
7. Transfers (Schedule G) (7) .0 0
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: ($) 130,903.85
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 1 8 0 9
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) _ 131 , 387.21
11 . Total Deductions
12. Net Value of Tax Return C11) 146, 670.30
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule t12)
J) C13) 15, 766 .45-
14. Net Value of Estate Subject to Tax .0 0
C14) 15, 766.45-
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16
17
18
,
reflect figures that include the total of ALL returns assessed to ,
and 19 will
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 .
=
17. Amount of Line 14 at Sibling rate .0 0
18. Amount of Line 14 taxable at Collateral/Class B rate C18) 0 0
15 =
19. Principal Tax Due .
X .0 0
TAX CREDITS: c19)= . 00
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C-) AMOU NT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
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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