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Pennsy
INHERITANCE TAX pEppRTMENT OF REVENUE
OR DISALLOWANCE REV-1547 EX AFP c12-lo)
NOTICE OF
T, ALLOWANCE OF TAX
.t ~ ,pp~~~~~~'
IDUAL 7AxES~Ft•' - OF p~~yCTIONS AND ASSESSMEN -
oF INDIV ~ 09 05-2011 LAURA E
BUREAU DIVISION ~ i~l" s ''~-
INNERITANCE TAX DATE MYERS
Po Box 2gobol ``++~~ ESTATE OF 08_29-2010
~{pRRISBURG PA 17128-0601 ,,'1P' ~ ~~Fa ~ 4 ~' ': IC' ~-`~
DATE OF DEATH 21 10_1025
CLERK OF FILE NUMBER CUMBERLAND
COUNTY 101
Q~~~N w ~~}«R~ pCN APPEAL DATE: 11-04-2011
B I RW I N~ - ~' _ ' ~ see reverse side under Obi
ROGER STREET ppYMENT T0:
60 WEST POMFRET PA 17013 Amount Remitted REMIT
MAKE CHECK PAYAB 4EILL1S
CARLISLE
REGISTER OF SQUARE
1 COURTHOUPA 17013
CARLISLE ______
RECORDS ~ ---_""___
PORTION _YOUR______----'-" OR
LOWER-________FOR ISEMENT, ALLOTA E 09-05_2011
~ RETAIN _ pPPRASSESSMENT OF DATE:
LINE-107 __ - INOFRDEDUCTIONS AND pCN: 1p1
CUT_ALON6_THIS__C12_ NOTICE OF
1547 EX AFP DISALLOWANCE EFILE NO•s2I 10-1025
REV- LAURA c ) CHANGED
To ensure Proper
ACCEPTED AS FILED
ESTATE OF: MYERS TAX RETURN WAS: CX) 375,000.00 NoTE~ to Your account'
ORIGINAL RETURN credit er portion
ON: cl) 00
RETURN BASED submit the uPP
VALUE OF (2)~~~ of this form with Your
pppRpISED c$ehedule A) c3) , OD tax Payment
I, Real Estate (Schedule B) (Schedule C)
Bonds Interest C4) 87 , 623.97
2, Stocks and C5) ,00
3, Closely Held Stock/PartnersCSchedule D) (Schedule E)
es/Notes Receivable (6) ,0 0
4, Mort9a9 Personal Property 462 623.97
Deposits/Misc. C7) (8)
5. Cash/Bank property (Schedule F)
6, Jointly Owned
7 Transfers (Schedule G)
Assets EXEMPTIONS ~ c9)~ 02 03
g, Total (Schedule H) C10) -~~ 47,358•
OVED DEDUCTIONS AND Expenses (11) 265.94
APPR enses/Adm. Costs/Misc. 415,
y. Funeral ExP (Schedule I) C12) .00
Liabilities/Liens (13)
10. Debts/Mortgage 415 265'94
C14)
elected 9113 Trusts (Schedule J
11. Total Deductions Non- and 19 will
Tax Return
12. Net Value of Bequests; 15 and/or 16, 17, 18
13. Charitable/Governmensu ject to Tax d t0 date.
reviouslY, lines 14,
of Estate of A~ returns assesse , 00
14. Net Value w85 issued P total =
If an assessment ,00 x DO 18,686.97
t include t e
NOTE: c15) X 045 ,00
figures tha
ref ~F`TAX: clb)~ ,~ X 12 , 00
14 at SDOUSal rate p rate _
ASSESSMENT Line at Lineal/Class C17) , 00 X 15 lg , 686 •97
15. Amount of C19)=
16. Amount of Line 14 taxable rate (18)
14 at Sibling g rate
Amount of Llne t Collateral/Class
17. I4 taxable a
18. Amount of Line
Tax Due AMOUNT PAID
19. Princypal DISCOUNT C+)
TAX CREDITS : PAID c-) '] , 000 .00
RECEIPT INTEREST/PEN 368 : U1- 11 , 318.56
ppYMENT NUMBER
DATE CD013705
11-24-2010 CD014559
06-10-2011 18,686.97
TOTAL TAX PAYMENT .p[
OF Ob-11-2011 OF TAX DUE 11,1-
BALANCE PEN.
UNPAID INTEREST/PENALTY AS INTEREST AND 11,1
BALANCE OF TOTAL DUE
^CREDIT" CCR)~ YOU MAY
OF THIS FORM FOR INSTRUCTIO
IF TOTAL DUE IS REFLECSIDE S p
SEE REVERSE p REFUND. SEE REVERSE
DATE INDICATED' INTEREST.
* IF PAID AFTER OF ADDITIONAL
FOR CALCULATION