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NOTICE OF INHERITANCE TAX pet1tlS~/~Va111C'~ ~`~~- ~
BUREAU OF INDIVIDUAL TAXES '~~ `'APRRAIS~pII, ALLOWANCE OR DISALLOWANCE
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INHERITANCE TAX DIVISION 'OF D~ "IONS AND ASSESSMENT OF TAX REV-1547 EX AFP (12-10)
PO BOX 280601 .- ' +:; ~ ~~
HARRISBURG PA 17128-0601 ' ,J '- - ..:-
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20 E BURD ST
SHIPPENSBURG PA 17257
DATE 02-21-2011
ESTATE OF BARRICK KATHERINE
DATE OF DEATH 05-07-2010
FILE NUMBER 21 10-1197
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 04-22-2011
(See reverse side under Objections )
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ---- --~ R_ETA_IN LOWER POR
TION
FOR YOUR RECORDS F-
_
_
REY-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE _ __
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: BARRICK KATHERINE FILE N0.:21 10-1197 ACN: 101 DATE: 02-21-2011
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED 0N: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) .0 0 NOTE: To
2. Stocks and Bonds (Schedule B) C2)
,Q Q ensure proper
credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .0 0 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D) (4)
0 0 of this form with your
. tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 6,3 01.61
6. Jointly Owned Property (Schedule F) C6) .0 0
7. Transfers (Schedule G) C7) 331 , 691.74
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: C8) 337 , 993.35
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)_ 15,0 7 0.1
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 10 0.18
11. Total Deductions C11) 15, 170.30
12. Net Value of Tax Return C12) 322,823.05
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax C14) 322,823.05
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17 , ].8 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) 37? . A 3 _ 0~ x 045 = 14, 527.04
17. Amount of Line 14 at Sibling rate C17) 0 0 X 12 =
18. Amount of Line 14 taxable at Collateral/Class B rate C18)
.0 0 X 15 .0 0
= .0 0
19. Principal Tax Due
TAX CREDITS: C19) = 14,527.04
PAYMENT RECEIPT
DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
12-07-2010 CD013748
.00 14,527.04
TOTAL TAX PAYMENT 14,527.04
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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