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BUREAU OF INDIVIDUAL
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
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APPR~ ~ ~~~~ ~F~' ~NRITANCE TAX
TAXES ~, ~~~~ ALL' W CE OR DISALLOWANCE
OF DEDI~~;I(~S`; d!~~ ASSESSMENT OF TAX
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-10)
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~'" ~•' ~bATE
10 -10 - 2011
C~~~'+r~' ESTATE OF LAPITSKY JACQUELIN M
DATE OF DEATH 12-30-2010
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~ FILE NUMBER 21 11-0014
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WILLIAM LAPITSKY F'~. COUNTY CUMBERLAND
3806 HEARTHSTONE RD ACN 101
CAMP HILL
PA 17 011 APPEAL DATE: 12-09-2011
(See reverse side under Objections )
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER
OF WILLS
1 COURTHOUSE SQUARE
CARLISLE F'A 17013
CUT ALONG THIS LINE ~ --RETAIN LOWER PORTION FOR YOUR RECORDS ~
- - ----------- --------------------
REV-1547 EX AFP C12-10~
-----------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANC
E OF DEDUCT
ESTATE OF: LAPITSKY IONS AND ASSESSMENT OF TAX
JACQUELIN MFILE N0 .:21 11-0014 ACN:
101 DATE
TAX RETURN WAS: CX) ACCEPTE : 10-10-2011
D AS FILED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL ( ) CHANGED
RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds Schedule B) ~1) .00 NOTE: To ensure proper
3. Closely Held Stock/Partnership Interest (Schedul C) C2) 928'75 credit to your account,
e
4. Mortgages/Notes Receivable (Schedule D) C3) .00 submit the upper portion
of this form with your
5. Cash/Bank Deposits/Misc. Personal Property (Sch
d tax payment.
l
e
6. Jointly Owned Property (Schedule F) u
e E) (5) 19,4 27.4 3
7. Transfers (Schedule G) C6) .00
8. Total Assets t7) .00
APPROVED DEDUCTIONS AiND EXEMPTIONS: c8) 20,356 18
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Sched ule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I) C9)_ 7.90 ~n
clo) 59.917 57
11. Total Deductions
12• Net Value of Tax Return C11) 67,821,07
C12) 4 7,4 64.8 9-
13. Charitable/Governmental Bequests; Non-elected 9113 Tru
t
14. Net Value of Estat@ Subject to Tax s
s (Schedule J)
C13) .00
NOTE: If an assesswent was issued previously ci4) 47,464 89-
lin
,
reflect ffgurgs that include the total es 14,
e and 19 will
of ALL
~
ASSESSMENT OF TAX: returns assessed
to d
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate (15) '~~ X 00 = .0 0
17. Amount of Line 14 at Sibling rate C16) DD x 04 5 = .00
c17)_ ~o x 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B
ra
19. Principal Tax Due te C18)
' ~~ X 15 . 00
TAX CREDITS:
DAVrrur __. ci9)= .00
DATE I ~~ I ut~COUNT (+) -
NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
+ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX PAYMENT
.00
BALANCE OF TAX DUE
.00
INTEREST AND PEN. .00
TOTAL DUE .00
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.