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NOTICE OF INHERITANCE TAX pennsylvarna .. .
BUREAU OF INDIVIDUAL TAXES AP ~fANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION r T~ID ASSESSMENT OF TAX REV-1547 EX AFP (12-11)
PO BOX 280601 ~L;~~.~' 'J; 4-J
HARRISBURG PA 17128-0601
~~y~ ~~~ ZC.~ ~~ ~; ~~ DATE 01-16-2012
ESTATE OF GUTSHALL PAUL M
^'c~ oy DATE OF DEATH 11-24-2010
~~ppppu~,~~s.~~4 ~~~~p~ FILE NUMBER 21 10-1222
~~~F~~~4~~,.~ COUNTY CUMBERLAND
HAMILTON C DAVIS ACN 101
STE 6 APPEAL DATE: 03-16-2012
20 E BURD ST (See reverse side under Objections)
SHIPPENSBURG PA 17257-1328 Asount Remittedr
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE --) RETAIN LOWER PORTION FOR YOUR RECORDS ~
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REV-1547 EX AFP C12-11~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: GUTSHALL PAUL MFILE N0.:21 10-1222 ACN: 101 DATE: 01-16-2012
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) 53,448.18 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) 139.5 6 credit to your account,
.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) C4) •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 30,76 7.30
6. Jointly Owned Property (Schedule F) (() .0 0
7. Transfers (Schedule G) (7) 36,343.30
8. Total Assets c8) 120 , 698.34
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 5.4 89.5 0
10. Debts/Mortgage LiabilitieslLiens (Schedule I) C10) 18 7.04
11. Total Deductions C11) 5,676.54
12. Net Value of Tax Return t12) 115,021.80
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J] C13) .0 0
14. Net Value of Estate Subject to Tax C14) 115,021.80
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:
15. Amount of Line 14 at Spousal rate C15) .00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 11 F . [171.80 x 045 = 5, 175.98
17. Amount of Line 14 at Sibling rate C17) .00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B ra te (18) •00 X 15 = .00
19. Principal Tax Due C14)= 5, 175.98
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
02-17-2011 CD014036 258.80 5,000.00
01-04-2012 REFUND .00 82.82-
TOTAL TAX PAYMENT 5,175.98
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 DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF TNIS FORM FOR INSTRUCTIONS.