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BUREAU OF INDIVIDUAL TA)OES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
JOHN W HARTM
101 CAROL LN
ENOLA
~ _
NOT ~~jp~-OF INHERITANCE TAX
~r~p'~~t1~1IS~' ~ ~~JJtALLOWANCE OR DISALLOWANCE
"" DEDED.G~~gNS AND ASSESSMENT OF TAX
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PA 17025
CUT ALON_6 THIS LINE _ ~ R_ETA_IN
REV-1547 EX AFP C12-10) NOTICE OF INF
DISALLOWANCE [
ESTATE OF: MYERS ELLEN
TAX RETURN WAS: C
APPRAISED VALUE OF R TURN BASED ON:
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stoc /Partnership Interes
4. Mortgages/Notes R ceivable (Schedule D
5. Cash/Bank Deposit /Misc. Personal Prop
6. Jointly Owned Pro erty (Schedule F)
7. Transfers CSchedu a G)
C1) .00 NOTE: To ensure proper
C2) .00 credit to your account,
C3) .00 submit the upper portion
of this form with your
C4) .00 tax payment.
c5) 8, 189.82
c6) 40,980.00
c7) .00
LOWER POR_TION_ FOR YOUR RECORDS E~ _ _
ERITANCE TAX APPRAISEMENT, ALLOWANCE OR
F DEDUCTIONS AND ASSESSMENT OF TAX
MFILE N0.:21 10-0637 ACN: 101 DATE: 10-24-2011
ACCEPTED AS FILED C X) CHANGED
UK1[ilNAL RETURN
(Schedule C)
rty (Schedule E)
8. Total Assets
APPROVED DEDUCTIONS ND EXEMPTIONS:
9. Funeral Expenses/ dm. Costs/Misc. Expe ses (Schedule H)
10. Debts/Mortgage Li bilities/Liens CSche ule I)
11. Total Deductions
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-10)
cB) _ 49, 169 8
c9)-- S.0 7 00
clo) .00
12. Net Value of Tax eturn C11) 8,027.00
13. Charitable/Govern ental Bequests
N
- C13~ 41,14 2.8 2
14. Net Value of Esta ;
on
a Subject to Tax lected 9113 Trusts (Schedule J) .00
NOTE:
If n4) 41.142 82
an assess^ nt was issued pr vfously, lines 14, 15 and/or 16
17
reflect figur
s that include t
he total
of ALL ,
,
returns
and 19 will
ASSESSMENT OF TAX: assessed to d to
15. Amount of Line 14 t Spousal rate
16.
Amount of Line 14
axable at Lineal/Cla
s A rate (15)
C16) .0 0 x 00 =
G)
)~~
.00
17. Amount of Line 14 t Sibling rate ,
8 9 X
045 = 1 , 851.43
18.
Amount of Line 14
axable at Collateral
Class B ra cln
te C18) nn x 12 =
00
15
° . 00
19. Principal Tax Due .
X .00
TAX CREDITS: C19)° 1,851.43
PAYMENT trcrc er __
DATE NUM ER INTERES /PEN PAID (-)
09-21-2010 Cn01 395 .00
06-29-2011 CD014644 .00
10-17-2011 SBADJUST .00
AMOUNT PAID
,SOO.oo
351.43
3.11
TOTAL TAX PAYMENT 1,851.43
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDIC TED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDIT ONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
DATE 10-24-2011
ESTATE OF MYERS ELLEN M
DATE OF DEATH 06-13-2010
FILE NUMBER 21 10-0637
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 12-23-2011
(See reverse. side under Objections)
AB~ount Re~itted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
.~
REV-ta7D Etft'Ut-10)
• ~
~ pennsylv~nia
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL T~tXES
PO Box 280601
DECEDENT'S NAME
Ellen M Myers
REVIEWED BY
Destiny S.R. -Brown
SCHEDULE I INO.
Total on Schedule H was
INHERITANCE TAX
EXPLANATION
', OF CHANGES
EXPLANATION OF CHANGES
NU
correctly carried forward to recapitulation page.
2110-0637
101
ROW
Page 1
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