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BUREAU OF INDIV~Ij.USAL 1`~4 ~
~ PRAISEMENT ALLOWANCE OR DISALLOWANCE
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DEPARTMENT OF REVENUE
INHERITANCE TAX DIV !TQ1V ~, ': ' _
'~~~IC' OF DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 ~
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HARRISBURG PA 17128-0601 REY-1547 IX AFP C12-10)
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DATE 03-28-2011
ESTATE OF EBERSOLE HELEN M
C~~R~ ~1~ DATE OF DEATH 0 9 - 25 - 2010
QR~I i~~~~'~+ ~~~~~' FILE NUMBER 21 10 - 1026
MARI~'~~`~~''k~1'EA~I~1~';~, FII~, COUNTY CUMBERLAND
2000 LINGLESTOWN RD S ACN 101
HARRISBURG P A 1710 9 APPEAL DATE: 05-27-2011
(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 ~
_
REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE _
_
TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: EBERSOLE HELEN MFILE N0 .:21 10-1026 ACN: 101 DATE
: 03-28-2011
TAX RETURN WAS: (X) ACCEPTE D AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1)
0 0
2. Stocks and Bonds (Schedule B) .
NOTE: To ensure proper
C2) 703, 382.87 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) of this form with your
c4)
0 0
5. Cash/Bank Deposits/Misc. Personal Property (Sched .
tax payment.
ule E) (5) 324, 096.97
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G)
C7) .0 0
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: c8) 1,027,479 84
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)_ 6 7,4 6 6 8
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 2,08 9.0 2
11. Total Deductions
12 • Net Value of Tax Return c11) b9,555.83
924.01
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) 76 2,9 24 O1
14. Net Value of Estate Subject to Tax
c14) 195, 000.00
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16
17
reflec
ASSES
t figures that
include the total of
ALL ,
returns assessed ,
to d to
and 19 will
SMENT OF TAX:
15. Amount of Line 14 at Spousal rate (15) 0 0 0 0 =
16. Amount of Line 14 taxable at Lineal/Class A rate (16) .
X •0 0
17. Amount of
Line 14 at Sibling
rate _oo x 045 = .00
18. Amount of
Line 14 taxable at
Collateral/Class B rate (17)
C18) 70.000 00 X
175, 000
00 12 =
-
15
2,400.00
19. Principal Tax Due .
x - 26,250.00
TAX CREDITS:
C19)=
2$, 650.00
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
12-22-2010 CD013815 1
432
50
,
. 27,217.50
TOTAL TAX PAYMENT 28,650.00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE
FOR CALCULATION OF INDICATED,
ADDITIONAL SEE REVERSE
INTEREST IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.