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r' (`~ ~NOT,IC~_,.QFC. NHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES APP~~~1'~~E~t'~NT, ~'~1~1,~i4NCE OR DISALLOWANCE
INHERITANCE TAX DIVISION DI~"UE,~!UGTI,DI~S!~ ~D ASSESSMENT OF TAX
PO BOX 280601 4'J
HARRISBURG PA 17128-0601
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-10)
-, ~ U
_"!If `{~~~ ~t'`i ~~~ L;~ DATE 10-18-2011
ESTATE OF DEATRICK RUBY A
CLERK(1~ DATE OF DEATH 03-02-2006
~RP~},'',i~a~c ~(~i~tC7-~ FILE NUMBER 21 06-0325
CI)~.Ar;{`''`:~``''!f'~;~(~ ~a COUNTY CUMBERLAND
MARY ELLEN S ILO ACN 101
65 LORI CIRC E APPEAL DATE: 12-17-2011
MECHANICSBUR PA 17050-3665 (See reverse side under Objections)
~, Amount Remitted
i MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
j REGISTER OF WILLS
~!~ 1 COURTHOUSE SQUARE
~, CARLISLE PA 17013
CUT ALON_6 THIS LIN ---- ~ R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS ~ _ _______
REV-1547 EX AFP C1 -10~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: DEATRIC RUBY AFILE N0.:21 06-0325 ACN: )n) nerF. ~n_is,_~n „
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate CSc edule A)
2. Stocks and Bond (Schedule B)
3. Closely Held St ck/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Depos is/Misc. Personal Property (Schedule E)
6. Jointly Owned P operty (Schedule F)
7. Transfers (Sche ule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expense /Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage iabilities/Liens (Schedule I)
(1) 56,500.00 NOTE: To ensure
proper
(2) .00 credit to your account,
C3) .00 submit the upper portion
of this form with your
(4) .00 tax payment.
(5) .00
(6) .00
(7) .00
(B) _ 56.500.00
(9) 27.0 0.00
(lo) 23 739.67
11. Total Deduction (11) 50,759.67
12. Net Value of Ta Return (12) 5,740.33
13. Charitable/Gove nmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Es ate Subject to Tax C14) 5 74 0.33
NOTE: If an asses ment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect fiB s
res that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX.
15. Amount of Line 4 at Spousal rate C15) .00 X 00 = .00
16. Amount of Line 1 4 taxable at Lineal/Class A rate (16) _00 x 04 5 = 00
17. Amount of Line l 4 at Sibling rate C17) x.740.33 X 12 = .
688
83
18. Amount of Line l 4 taxable at Collateral/Class B ra te (18) .00 X 15 - .
.00
19. Principal Tax Du e
(19)= 688.83
TAX CREDITS:
°^' ect~tiri I DISCOUNT C+)
DATE N MBER INTEREST/PEN PAID (-) AMOUNT PAID
03-29-2011 CD 0,14209 .00 ~aa az
BALANCE OF UNPAID INTEREST/PENALTY AS OF 03-30-2011 TOTAL TAX PAYMENT 688.83
!~ BALANCE OF TAX DUE .00
~i INTEREST AND PEN. 174.37
~ TOTAL DUE 174.37
* IF PAID AFTER DATE IN ICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YDU MAY BE DU~
FOR CALCULATION OF ADITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.