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NOTICE OF INHERITANCE TAX pennsylvania'~ ~
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BUREAU OF INDIVIDUAL TAXES r~ ~f
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`~~~~~~M~~"f ALLOWANCE OR DISALLOWANCE
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INHERITANCE TAX DIVISION
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Po eox 260601 ~,
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ASSESSMENT OF TAX r
REV-1547 IX AFP
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HARRISBURG PA 17128-0601 ~ ~ ~ -..'J C12-10)
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~. DATE 06-07-2011
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ESTATE OF BROTHERS JR CLARK W
LE~~ Q~ DATE OF DEATH 10-16-2004
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~ ~~~~T FILE NUMBER 21 06-0052
DARYL CHRISTOPH~~~~~~~~j ~~~ ~; COUNTY CUMBERLAND
,
4503 N FRONT ST ACN
501
HARRISBURG P A 1710 5 APPEAL. DATE: 08-06-2011
(See reverse side under Objections
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
CUT ALONG THIS LINE _ --~ R_ETA_IN LOWER POR
TI ON
FOR YOUR RECORDS f-~
_
REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TA _
_
X APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTION S AND ASSESSMENT OF TAX
ESTATE OF: BROTHERS JR CLARK WFILE N0.:21 06-0052 ACN: 501 DAT
E: 06-07-2011
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: LITIGATION RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B) C1).__ .0 0
NOTE: To ensure proper
3. Closely Held Stock/Partnershi
I
t (2)~_ .0 0 credit to your account,
b
p
n
erest (Schedule C) mit the upper portion
.0 0 su
(3)
4. Mortgages/Notes Receivable (Schedule D) __
of this form with your
(4)
0 0
5. Cash/Bank Deposits/Misc. Personal Property (Schedule __ .
tax payment.
E) (5)
7,200.00
6. Jointly Owned Property (Schedule F) ___
.0 0
(6)
7. Transfers (Schedule G) __
(7)~_ .0 0
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: (~) 7,200 00
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I) (q)~__ .0 0
(10)x_ .0 0
11. Total Deductions
12. Net Value of Tax Return C11) .0 0
7,2 0 0.0 0
13. Charitable/Governmental Bequests; Non-elected 9113 Tr
t
14. Net Value of Estate Subject to Tax us
s (Schedule J) (13)
.0 0
(14) 7,200.00
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16
17
reflect figures that include the total of ,
,
and 19 will
ALL returns
ASSESSMENT OF TAX: assessed to d to
15. Amount of Line 14 at Spousal rate (15)
0 0
0 0 =
16. Amount of Line 14 taxable at Lineal/Class A rate ~
X
• 00
(16) 7
70
17. Amount of Line 14 at Sibling rate .
0 00 x 045 =
324.00
18. Amount of Line 14 taxable at Collateral/Class B rate (17) ~~ x 12 = . 00
C18)
0 0
15 -
19. Principal Tax Due ~
X
- .0 0
TAX CREDITS:
(19)= 324.00
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT' PAID
03-30-2011 CD014227
.00
324.00
TOTAL TA:X PAYMENT 324.00
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" (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SID1= OF THIS FORM FOR INSTRUCTIONS.