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NOTICE OF INHERITANCE TAX
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MECHANICSBURG PA 17055
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DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-10)
DATE 04-04-2011
ESTATE OF MCDADE ANN
DATE OF DEATH 04-27-2010
FILE NUMBER 21 10-0511
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 06-03-2011
(See reverse side under Objections )
Amount Remitted C
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
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IN_LOWER_PORTION_FOR
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THIS LINE
CUT ALONG _YOUR_RECORDS_ ~ __ _________________
REV-154 _
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_
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7 EX AFP C12-10) NOTICE OF INHERITANCE TAS ANDR ASSESSMENTAOFOTAXCE OR
DISALLOWANCE OF DEDUCTION
ANN LFILE N0.:21 10-0511 ACN: 101 DATE: 04-04-2011
ESTATE OF: MCDADE
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
.0 0
NOTE: To ensure proper
1. Real Estate (Schedule A) C1) .0 0 credit to your account,
2. Stocks and Bonds (Schedule B)
C2)
0 0
submit the upper portion
ld Stock/Partnership Interest (Schedule C)
H
(3) . of this form with your
3. e
Closely
(4) .0 0 tax payment.
4. Mortgages/Notes Receivable (Schedule D) 1 , 31 8.57
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) .0 0
6.
Jointly Owned Property (Schedule F) C6)
117,964.24
7. Transfers (Schedule G)
C7)
81
282
119
cs) .
,
8. Total Assets
APPROV ED DEDUCTIONS AND EXEMPTIONS: 50
2 9
5 Q
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) ,
L9) ,_
0 0
10. Debts/Mortgage Liabilities/Liens (Schedule I)
(10) .
2,509.50
11. Total Deductions cll)
C12) 116,773.31
12.
13 Net Value of Tax Return
ritable/Governmental Bequests; Non-elected 9113 Trusts
Ch
(Schedule J) C13) .0 0
31
7 7 3
116
. a C14) .
,
14. Net Value of Estate Subject to Tax
lines
If an assessment was issued previously,
14, 15 and/or
16, 17, 18 and 19 will
NOTE:
g
ec
ref
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS : ures that include the total of ALL returns assessed to date.
t fi
l
_ _ _ _ _._
c15) .00 X 00 = .00
c16) 116,77;.~i x 045 = 5,254.80
c17) . oo x 12 = . 00
cls) .00 X 15 = .00
c19)= 5,254.80
* 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.