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~ R10T,~- E.:,;gF~,I RITANCE TAX Pennsylvania ~
BUREAU OF INDIVIDUAL raxes APPR~~S`~~IEN~; ALIL,~IICE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~ DEPARTMENT OF REVENUE
OF }[~F1UCa`T~ONS,'•IAitt~ ASSESSMENT OF TA:X
PO BOX 280601 REV-1547 EX AFP (12-10)
HARRISBURG PA 17128-0601
- JLDATE 10-10-2011
ESTATE OF CARRAI EDWARD B
CLERK C'F DATE OF DEATH 11-15-2009
~RPN~N"~ COl)r~i.T FILE NUMBER 21 09-1155
CU~Ut~`~~I ,a,;~,;-; !`('~ PA COUNTY CUMBERLAND
GEORGE F DOUGLAS III ESQ ACN 101
354 ALEXANDER SPRING RD APPEAL DATE: 12-09-2011
CAR L I S L E PA 17 015 (See reverse side under Objections)
Amount Reaitted)
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 RECORDS •-- _
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REV-1547 EX AFP C12-lp) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: CARRAI EDWARD BFILE N0.:21 09-1155 ACN: 101 DATE: 10-10-2011
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF REtURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) .00
NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) ,00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .0 0 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D) of this form with your
C4) .00 tax payment.
5. Cash/Bank DepositsLMisc. Personal Property (Schedule E) (5) 4,98 2.02
6. Jointly Owned Property (Schedule F) C6) 5 51.14
7. Transfers (Schedule G) C7) .0 0
8. Total Assets
APPROVED DEDUCTIONS AWD EXEMPTIONS: ~$) 5.533.16
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) ~q) 10.7 9 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10)_ 17.722.3 2
11. Total Deductions
12.
Net Value of Tax Relturn X11) 28,451.52
13.
Charitable/Governmejntal Bequests; Non-elected 9113 Trusts C12)
(Sch
d
l
J 22,918.36-
14.
Net Value of Estate Subject to Tax e
u
e
) C13) .00
C14) _ 22,918.36-
NOTE: If an assessn~erlt was issued previously, lines 14, 15 and/or 16
17
18 a
d 19
reflect figure's that include the total
of ALL ,
,
returns assessed to date n
will
ASSESSMENT OF TAX: .
15. Amount of Line 14 at Spousal rate (15) .00 X 00 = 00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) -00 X 04 5 = .
17.
Amount of Line 14 at Sibling rate
C17) .00
18.
Amount of Line 14 taxable at Collateral/Class B ra
te C18) 00 X 12 =
00
15 =
.00
19.
Principal Tax Due .
X .00
TAX CREDITS:
C19)=
.00
LIJGUUNI (t)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUFF
FOR CALCULATION. OF ADDITIQNAL INTEREST. A REFUND. SEE REVERSE SIDE OF' THIS FORM FOR INSTRUCTIONS. f'~•
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