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NOTICE OF INHERITANCE TAX Pennsylvania ~
~ (`~',''~F'`,ps~,P,.R~~T, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES{ t_~t, ~ hh
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INHERITANCE TAX DIVISION ~,- I~ ~,'
PO BOX 280601 ~
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` AND ASSESSMENT OF TAX REV-1547 EX AFP C12-10)
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HARRISBURG PA 17128-0601 ;
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~~1 ~E~~ ~ ~ ~~;" ~ ~ DATE 08-22-2011
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4 ESTATE OF BESORE DOROTHY J
CLERK ~JF
ORP~-{AN'S CQ~RT
ROBERT M FRE1~I~~4i~:~~n ,'~'~!~ ('; ^, , P~
5 S HANOVER ST
CARLISLE PA 17013
DATE OF DEATH 10-28-2010
FILE NUMBER 21 10-1200
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 10-21-2011
(See reverse side under Objections)
Aaount Resitted
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
REV-1547 EX AFP C12-10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLY
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF
ESTATE OF: BESORE DOROTHY JFILE N0.:21 10-1200 ACN:
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1)
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.
Cs) 19,673.07
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Cq) 5 ,418.80
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 348.97
11. Total Deductions (11) 5,767.77
12. Net Value of Tax Return C12) 13,905.30
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax (14) 13,905.30
NOTE: If an assesseent 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:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-)
01-27-2011 CD013955 26.32
05-26-2011 CD014515 .00
00 = .00
045 = 580.74
12 = .00
15 = 150.00
C19)= 730.74
204.42
TOTAL TAX PAYMENT 730.74
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
Cls) • 00 x
(16) 12.905.30 X
(17) _ 00 X
Cls) 1,000.00 X
AMOUNT PAID
DWANCE OR
TAX
101 DATE: 08-22-2011
.00 NOTE• To ensure proper
C2) .00
c3) .00
C4) .00
C5) 19,673.07
C6) .00
~7) .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE Dl
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.