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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
rr~,~;,~ ~I~i ~^ r~~FV~NHERITANCE TAX
APRikA~+4pT;,?,;k~.LOWANCE OR DISALLOWANCE
~~'"~'~bUC`1'IbNS AND ASSESSMENT OF TAX
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-10)
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EILEEN M MCMULLIN
3826 CARRIAGE HOUSE DR
CAMP HILL PA 17011-1456
DATE 10-10-2011
ESTATE OF NORRIS MARY C
DATE OF DEATH 04-11-2011
FILE NUMBER 21 11-0543
COUNTY CUMBERLAND
ACN 101
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 PA 17013
CUT ALON_6 THIS LINE _ ~ R_ETA_IN LOWER POR
TION
FOR YOUR RECORDS ~
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_
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REV-1547 EX AFP C12-10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE ___
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: NORRIS MARY (FILE N0.:21 11-0543 ACN: 101 DATE: 10-10-2011
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 0 0
2. Stocks and Bonds (Schedule B) C2) .
110,740.21 NOTE: To ensure proper
credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D)
C4)
00 of this form with your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) .
19,901.92 tax payment.
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) C7) .0 0
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: ~$) 130,642 13
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)__ ,~ 7 9
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 1,44 5.44
11. Total Deductions
12.
Net Value of Tax Return C11) 4, 002.56
13.
Charitable/Governmental Bequests; Non-elected 9113 Tr
t c12)
(S 126,639.57
14.
Net Value of Estate, Subject to Tax us
s chedule J) (13) .00
C14) 126 , 639.57
NOTE: If an assess~ent was issued previously, lines 14, 15 and/or 16
17 18
reflect figures that include the total
of ALL ,
,
returns assessed to d and 19 will
ate
ASSESSMENT OF TAX: .
15. Amount of Line 14 at Spousal rate (15) 00
00 =
16.
Amount of Line 14 taxable at Lineal/Class A rate
C16) .
X
1 ?6
639
~ .00
17.
Amount of Line 14 at Sibling rate .
-
7 x 045 =
5,698.78
C17) .00 X 12 =
18. Amount of Line 14 taxable at Collateral/Class B ra te C18) 00
15 =
19.
Principal Tax Due .
X .00
TAX CREDITS: C19)= 5, 698.78
uaacuunl C+)
DATE NUMBER INTEREST/PEN PAID (-)
24 2011 CD014629 284.94
AMOUNT PAID
,-,~~.
TOTAL TAX PAYMENT 5,698.78
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 DU
FOR CALCULATION OF ADD171ONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.