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fj~~~i~T~~i t ~'I+ti'I~ ~ NOTICE OF INHERITANCE TAX
n-r;,~ ~'.;/Iy~4t~ISEMENT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL ~?;[,;, ~~~~
INHERITANCE TAX DIVISION ~ DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 2B0601
HARRISBURG PA 17128-0601
'E1, ; JiIN -6 Pli 12: ~ 1T
CIERK O~
ORPHAN'S COURT
cu~,~~R~A~c e~., PA
MARLIN R MCCALEB ESQ
219 E MAIN ST
PO BOX 230
MECHANICSBURG PA 17055
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-10)
DATE 05-23-2011
ESTATE OF KARNS GOLDIE A
DATE OF DEATH 07-15-2010
FILE NUMBER 21 10-0773
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 07-22-2011
(See reverse side under Objections )
Amount Remitted -~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~-1 RETAIN LOWER PORTION FOR YOUR RECORDS t-- --------------
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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: KARNS GOLDIE AFILE N0.:21 10-0773 ACN: 101 DATE: 05-23-2011
TAX RETURN WAS: (X) ACCEPTED AS FILER C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) I1) 118, 000.00 NOTE: To ensure proper
2. Stocks and Bonds tSchedule B) ~2) 350.4 2 credit to your account,
00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) . 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) 2 0,541.77
6. Jointly Owned Property (Schedule F) (6) 2, 153.09
7. Transfers (Schedule G) ~7) 13, 139.72
e. Total Assets CS) 154.185.00
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 52,4 84.51
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 7,841.88
11. Total Deductions (11) 60,326.39
12. Net Value of Tax Return X12) 93,85$.61
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) 500.00
14. Net Value of Estate SubJect to lax C14) 93,358.61
NOTE: If an assessment was issued previously,
reflect figures that include the total
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns assessed to date.
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT I+)
DATE NUMBER INTEREST/PEN PAID C-)
nz_~~_~nil rnnial~~ _nn
C15) .00 X
C16) 9 3.358_61 X
c17) _00 x
c19) • 00 x
AMOUNT PAID
4,201.
00 = .00
045 = 4,201.14
12 = .00
15 = .00
I19)= 4,201.14
TOTAL TAX PAYMENT 4,201.14
BALANCE OF TAX DUE .00
INTEREST AND PEN. .0D
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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