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BUREAU OF INDIVIDUAL
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
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,~F ~ NO~I•C:~ ;-Q~F INHERITANCE TAX
TAXES ~'~?dI~$EM~HT~,. yR%~LOWANCE OR DISALLOWANCE
' '~ `~O~ "DE~U`C~'~a~ AND ASSESSMENT OF TAX
MURREL R WALTERS
54 E MAIN ST
MECHANICSBURG
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PA 17055
cl) .00
Cz) . 00
C3) .00
c4) .00
C5) 6, 032.00
c6) .00
c7) .00
CUT ALON_6 THIS LINE E PA 17013
REV-1547 EX AFP C12-10~ Ny CEROFAINHERITANCERTAXNAPPRAISEMENTC~RDS E~
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENTAOFOTAXCE OR
ESTATE OF: DAVIES
EDRIS WFILE N0.:21 11-0544
ACN: 101 DATE: 10-03-2011
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
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:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens [Schedule I)
DATE 10-03-2011
ESTATE OF DAVIES
DATE OF DEATH 03-26-2011 EDRIS W
FILE NUMBER 21 11-0544
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 12_02_2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISL
11. Total Deductions C10) •00
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
NOTE: If an assessment was issuedpreviousl
reflect figures that include the tot l~ofiALL return
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
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
DATE I ~ I DISCOUNT- C+~
NUMBER INTEREST/PEN PAID C-)
~ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
ul) 621.50
C12) 5,410.50
(13) . 00
C14) 5 410.50
and/or 16, 17, 18 and 19 will
s assessed to date.
c15) 5,410.50 X
C16) ~~ X
C17) ~~ X
clB) .00 X
Pennsylvania -';
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-10)
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
~$) 6 032.00
C9) 691 0
AMOUNT PAID
00 = .00
045 = .00
12 =
.00
15 = .00
C19)=
. 00
TOTAL TAX PAYMENT
BALANCE OF TAX DUE •00
INTEREST AND PEN. •00
.00
TOTAL DUE .00
AFREFUND.DSEEIREVERSECSIDEAOFATHISEFORM FOR)INSTRUCTIONS.