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NOTICE OF INHERITANCE TAX pennsylvania
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~ir~PAL~EM-~~1~,~~1LLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION -"QF~=AEDUG11;If~N$ AND ASSESSMENT OF TAX REV-1547 EX AFP (12-10)
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PO BOX 280601 `-~~ ~- -- ~- ~ ~ -~='~
HARRISBURG PA 17128-0601
- , `,,~~- :~'~ ~ DATE 07-25-2011
ESTATE OF HICKOK ELISABETH H
CLEgK'~F DATE OF DEATH 06-29-2009
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~flPf'~.~~~ v~l)~~ FILE NUMBER 21 09-0643
COUNTY CUMBERLAND
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JEAN D SEIBERT .
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~~ ACN 101
109 LOCUST ST APPEAL DATE: 09-23-2011
H B G P A 17101 (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
----------------------- -) RETAIN LOWER PORTION FOR YOUR RECORDS ~
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REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: HICKOK ELISABETH HFILE N0.:21 09-0643 ACN: 101 DATE: 07-25-2011
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) I1) 869,000.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
credit to Your account,
submit the upper portion
of this form with your
tax payment.
c8) 3,324,352.34
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) {9) 47.626.31
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 20,462.76
11. Total Deductions (11) 68,089.07
12. Net Value of Tax Return X12) 3,256,263.27
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax (14) 3,256,263.27
NOTE: If an assessment was issued previously,
reflect figures that include the total
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
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns assessed to date.
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
c15) •00 x
(16) 3.25 6.26.27 X
C17) .00 X
c18) . 00 X
00 = .00
045 = 146,531.85
12 = .00
15 = .00
c19)= 146,531.85
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
09-29-2009 CD011814 6,842.11 130,000.00
03-22-2010 CD012507 .00 11,400.00
c2) 10,475.00
c3) .00
c4) 160,000.00
c5) 762, 116.64
c6) .00
c7) 1,522,760.70
TOTAL TAX PAYMENT 148,242.11
BALANCE OF TAX DUE 1,710.26CR
INTEREST AND PEN. .00
TOTAL DUE 1,710.26CR
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE LS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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