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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
ROBERT G FREY
5 S HANOVER ST
CARLISLE
r~-r~n iMf3TIrrE . NHERITANCE TAX
AP~RA~SgiflNT, ~'A'~L~-~OWANCE OR DISALLOWANCE
~~~-~~~CSiQ~I~~`;~ND ASSESSMENT OF TAX
Pennsylvania
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-10)
Cc~ r ~ ~'~.. I L.J ,r ~ i +.~' ~J J DATE
10-10-2011
ESTATE OF STILL
r~F~~~Dr DATE OF DEATH 02-22-2011 NANCY L
~~~~f~~~~+~~ i~~;~? FILE NUMBER 21 11-0291
CUt~~':F~~t~'.j,j ~~ NA COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 12-09-2011
PA 17 013 (See reverse side under Objections)
Asount Rewftted
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
- - - ------------ -------------------
REV-1547 EX AFP RECORDS ~
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C12-10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE
DISALLOWANCE
----------
--------
OR
OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: STILL
NANCY LFILE N0.:21 11-0291 ACN: 101 DATE: 10-10-2011
TAX RETURN WAS: C 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) C1) 115,000.00 NOTE: To ensure proper
3. Closely Held Stock/Partnership Interest [Schedule C) C2) .0 0 credit to your account,
submit th
C3)
4. Mortgages/Notes Receivable [Schedule D) .00 e upper portion
of this form with your
5. Cash/Bank Deposits/Misc. Personal Property [Schedule E) .00 tax payment.
C5)
6. Jointly Owned Property (Schedule F) - .00
7. Transfers [Schedule G) C6) 22,853.50
v) 199,749.00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: c8) 337,602 50
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
C9)-
10. Debts/Mortgage Liabilities/Liens (Schedule I) 9.0 8 On
clo)
11 1.342.00
. Total Deductions
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 assesssent was issued previously, lines 14, 15
reflect figures that include the total of ALL 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:
DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-)
~ U1 LU11 I rnn~~rc:
cll) 16,380.00
cl2) 321,222.50
c13) .00
c14) 321 , 222 50
and/or 16, 17, 18 and 19 will
s assessed to date.
C15) . 00 X
c16) ~~~ .~~~ ~n X
c17) nn X
c1E) , 00 X
AMOUNT PAID
00 = .00
045 = 14,455.01
12 = .00
15 = .00
C19)= 14,455.01
TOTAL TAX PAYMENT
14,455.01
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL DUE I .00
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DU
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.