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NOTICE OF INHERITANCE TAX pennsylvarna ~~ .x :-
BUREAU OF INDIVIDUAL TA~,ErS'~~' ~~$y~~4~~ENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~ OF.;,IJ~DUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP C12-10)
PO BOX 260601 _ -
HARRISBURG PA 17128-0601 ` `
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HAROLD SIRWItLh ~PI'- ~, J ~~J„ rA.
64 S PITTS ST
CARLISLE PA 17013
DATE 1.1-07-2011
ESTATE OF L.UCIDON JR JOHN M
DATE OF DEATH [I1-21-2009
FILE NUMBER 21 09-0702
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 01-06-2012
(See reverse side under Objections )
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER 01= WILLS
1 COURTHOUSE SQUARE
CARLISLE IPA 17013
CUT ALON_6 THIS LINE ---1 RETAIN LOWER PORTION__FOR_YOUR-REC:ORDS_ ~'___________________
REV-1547 EX AFP (12-10)DISALLOWANCENOFRDEDUCTIONS ANDRASSESSMENTAOFOTAXCE OR
~..r.T~ nr. i nrrnnu iv .I[)NN MFILE N0.:21 09-0702 __ACN: 101 DATE: 11-07-2011
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
~1) .00 NOTE: To ensure proper
1. Real Estate (Schedule A) 00 credit to your account,
2. Stocks and Bonds (Schedule B) I2) .
00 submit the upper portion
3 Closely Held Stock/Partnership Interest (Schedule C) (3)
.
of this form with your
.
4 Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
.
5
Cash/Bank Deposits/Misc. Personal Property (Schedule E)
(5) 54,085.42
.
6
Jointly Owned Property (Schedule F)
C6) ,00
. c7) .00
7. Transfers (Schedule G)
c8) 54.085.42
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 78+207.00
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 46,295.00
74,502.00
c11)
11. Total Deductions 20,416.58-
12.
Net Value of Tax Return (12)
C13)
.00
13 Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
. C14) 20,416.58-
14. Net Value of Estate Subject to Tax
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date .
ASSESSMENT OF TAX: 00
00 -
- .00
15. Amount of Line 14 at Spousal rate ,
X
C15)
00 X 04 5 =
C16) .00
16. Amount of Line 14 taxable at Lineal/Class A rate .
(17) .00 X 12 .00
17. Amount of Line 14 at Sibling rate
.00 X 15 =
C18)
.00
18 Amount of Line 14 taxable at Collateral/Class B rate
. t19)= .00
14. Principal Tax Due
TAX CR EDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUWT PAID
DATE NUMBER INTEREST/PEN PAID C-)
TOTAL l'AX 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 DLLfa
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~~"