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NOTICE OF INHERITANCE TAX
,r r,r±-.,; ~~ -'`-~4PPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE 7~
BUREAU OF IN'~L OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP c12-lo
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INHERITANCE TAX D~ ~ ~ ' ' ~!' ? ~
PO BOX 280601 ~ ~~.
HARRISBURG PA 17128-0601
DATE 04-04-2011 A
r: •,y ~ ;~;~ -~` ~ `+ ~; ~«~`~ CATHY
~_.:~ j ~ tai ;r ~ ~ - ESTATE OF MENTZER
DATE OF DEATH 05-19-2010
~~~~~ ~~ FILE NUMBER 21 10-0577
O~~ !'~ ~~~;~~~ COUNTY CUMBERLAND
W I L Cr~3~i'L1~ ~~a P'"~' ACN 101
APPEAL DATE: 06-03-2011
4 3 W S O U T H STREET (See reverse side under Objections )
CARLISLE PA 17013
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE S6lUARE
CARLISLE PA 17013
RETAIN LOWER PORTION FOR YOUR-RECORDS ~ __________________
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CUT ALONG_ THIS LINE ____ ~ __________________________ -
REV-1547 EX AFP C12-10~ NOTICE OF INHERITDUCTIONS ANDRASSESSMENTAOFOTAXCE OR
DISALLOWANCE OF DE ACN: 101 DATE: 04-04-2011
ESTATE OF: MENTZER CATHY AFILE N0.:21 10-0577
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
C1) .0 0 NOTE: To ensure proper
1. Real Estate (Schedule A) .~ 0 credit to your account,
(2) submit the upper portion
2. Stocks and Bonds (Schedule B)
C3) '~ ~ of this form with your
3. Closely Held Stock/Partnership Interest (Schedule C) (4) .0 0 tax payment.
4. Mortgages/Notes Receivable (Schedule D) l+7 , 387.33
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C6~ ,0 0
6. Jointly Owned Property (Schedule F) C7) .0 0
7. Transfers (Schedule G) C8) 47 , 387 , 33
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: 11.392.1_5
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (lU) .0 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) 11 , 392.15
C11)
11. Total Deductions C12) 35, 995.18
12. Net Value of Tax Return C13) .0 0
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C14) 3 5,9 9 5.18
14. Net Value of Estate Subject to Tax lg and 19 Will
lines 14, 15 and/or 16, 17,
NOTE: If an assessment was issued previously,
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX: .00 X 00 = .00
(15)
15. Amount of Line 14 at Spousal rate Ci6) 35 .995.1 8 x 045 = 1 , 619.78
16. Amount of Line 14 taxable at Lineal/Class A rate ~~ X 1 2 = .0 0
C17)
17. Amount of Line 14 at Sibling rate . 00 X 15 = , 00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) (19)= 1,619.7 8
19. Principal Tax Due
TAX CREDITS: DISCOUNT C+)
PAYMENT RECEIPT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
.00 1,619.78
01-26-2011 CD013947
TOTAL TAX PAYMENT 1,619.78
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.