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Home My WebLink About12-19-11~._ NOTI~ ,'110~ INHERITANCE TAX p BUREAU OF INDIVIDUAL raxES J~ y, '~~ +~~:LOWANCE OR DISALLOWANCE f'11115~/~Va111c1 ~ INHERITANCE TAX DIVISION ~l PFA~$EFIEM~ , PO Box zao6ol OF DEDUC'T,I©IQS AND ASSESSMENT OF 'fAX DEPARTMENT OF REVENUE HARRISBURG PA 17128-0601 '' REV-1547 EX AFP (12-11) JERED L HOCK 1334 KINER BLVD CARLISLE 1 ,~ Ic}~ ~~t~ DATE 12-19-2011 ESTATE OF FITHIAN ~.~, ,~~ BERNICE M C`,~, #~! l: DATE OF DEATH 11 -11 - 2010 Q-{~-~,~'~'tti (~;'~,{,T FILE NUMBER 21 10-1141 r~,~'~"'-;! , f''; ~.1 COUNTY CUMBERLAND ACN 101 PA 17015-9769 APPEAL .DATE: 02-17-2012 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE I'A 17013 CUT_ALON6 THIS LINE ~ --R_ETA_IN-LOWER POR_TION_ FOR YOUR RECORDS E~ ----------------- REV-1547 EX AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR ----------------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF: FITHIAN BERNICE MFILE NO.: 21 10-1141 ACN: 101 DATE: TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED 12-19-2011 APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN I. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) cl) .00 c2) :1,681.43 c3) .00 c4) .00 c5) 3, 127.20 c6) .00 c7) .00 C9)- ~' 78 99 clo) 663 NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment. cs) 4 , 808 63 11. Total Deductions - 2 07 31 12• Net Value of Tax Return (11) 665,586.30 13. Charitable/Governmental Bequests; Non-elected 9113 T C12) 660,777,(7_ r 14. Net Value of Estate Subject to Tax usts (Schedule J) C13) .00 NOTE: If an assessment was issued previousl c14) 660,777 67_ reflect figures that include the total~of1 ASSESSME ALL ~ 7 and 19 will NT OF TAX: returns asses sed to d ate 15. Amount of Line 14 at Spousal rate 16. Amount of Line 14 taxable at Lineal/Class A rate C15) '00 X 0 0 = .00 17. Amount of Line 14 at Sibling rate C16) n0 x 04 5 = • 00 18. Amount of Line 14 taxable at Collateral/Class B cln n D X 12 .00 rate 19. Principal Tax Due C18) .00 X 15 = TAX CREDITS: .00 PAYMENT REC c19)= .00 EIPT DISCOUNT (+) DATE NUMBER AMOUNT PA:CD INTEREST/PEN PAID (-) * IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. TOTAL TAX PAYMENT BALANCE OF TAX DUE •00 .00 INTEREST AND PEN. .00 TOTAL DUE .00 r ~, IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.