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OTICE OF INHERITANCE TAX pennsylvan~a ~~ ~
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~ fig''`" '~' ~MIENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
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,~ ,~•Q~t tL7EDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP Clz-lo)
BUREAU OF INDIVIDUAL TA~~~~~: ° ~~'
INHERITANCE TAX DIVISION ~~ „~,y , ~ ,` ,+ ~ + ~,~- ~ ,~
PO BOX 280601 ~~ ~`' ~
HARRISBURG PA 17128-0601
~f,, t ,., "`," ~ ~°.,~~ DATE 06-07-2011
`',! ~ .Ji:~'~ ~~ s''r.r t~ ` SPO1"TS MELVIN L
-~ ~ ESTATE OF
DATE OF DEATH 05-07-2010
C~E.RK ~~ RT F I L E NUMBER 21 :L 0- 0 58 0
QRPHA,~ S C~U COUNTY CUMBERLAND
R MARK THOM~~~A~~~~ ~'~~' ~~' ACN 101
APPEAL DATE: 08-06-2011
101 S MARKET S T ( See reverse side under Objections )
MECHANICSBURG PA 17055
Amount Remitted C
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
~ RETAIN LOWER PORTION FOR YOUR-RECORDS- ~ ___________________
CUT ALONG THIS LINE _____________________________________ _' -
REV-1547 EX AFP {12-10 NOTICE ANCENOFRDEDUCTIONS ANDRASSESSMENTAOFOTAXCE OR
DISALLOW
MELVIN LFILE N0.:21 10-0580 ACN: 101 DATE: 06-07-2011
ESTATE OF: SPOTTS
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN N0. O1
C1) •0 0 NOTE: To ensure proper
1. Real Estate (Schedule A) .~ ~ credit to your account,
C2) submit the upper portion
2. Stocks and Bonds (Schedule B)
C3) '~ ~ of this form with your
3. Closely Held Stock/Partnership Interest (Schedule C) ,Q Q tax payment.
C4)
4. Mortgages/Notes Receivable (Schedule D) 1,500.00
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) ,0 0
C6)
6. Jointly Owned Property (Schedule F) .0 0
C7)
7. Transfers (Schedule G) 1 , 500.00
C8)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: 15.OQ
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) ,0 0
C10) -
10. Debts/Mortgage Liabilities/Liens (Schedule I) 15.0 0
C11)
11. Total Deductions C12) 1,485.00
12. Net Value of Tax Return C13) .0 0
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C14) 4,2 3 9.3 5
14. Net Value of Estate Subject to Tax
lines 14, 15 and/or 16, 17, 18 and 19 will
NOTE: If an assessment was issuedpreviouslY,
f' res that include the total of ALL returns assessed to date.
reflect igu
ASSESSMENT OF T AX:
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:
PAYMENT RECEIPT DISCOUNT C+)
NUMBER INTEREST/PEN PAID C-)
DATE 00
12-01-2010 CD013730 .
00
03-22-2011 CD014167 .
00
05-31-2011 SBADJUST .
.00 x 00 = .00
(15)
~5 x 045 =
238
4
190.78
-
.
C16)
C17) .00 x 12 = .00
.00 X 15 = .00
cls)
C19)=
190.78
AMOUNT PAID
123.95
66.83
.24
TOTAL TAX PAYMENT 190.78
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL, DUE I .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.