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NOTICE OF INHERITANCE TAX pe1111SJ/~Vd111a t~, ~
BUREAU OF INDIVIDUAL TAXES J't 4~ rr~~i~~ ~~ (~LOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION +{It' •.UEDk{C~~~Q~S AND ASSESSMENT OF TAX
PO BOX 280601 "~ , REV-1547 EX AFP (12-11)
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HARRISBURG PA 17128-0601
`~t2 ~: ~~ 2~ r ~ ~; G~ DATE 02-13-2012
ESTATE OF COULSON CARRIE R
DATE OF DEATH 01-26-2011
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~~~H~,~ v~~~'1T FILE NUMBER 21 11-0203
MICHAEL E COULSON C~1MR4`R' ~
\'~~ (,~ PA COUNTY CUMBERLAND
, ACN 101
84 FRONT ST APPEAL DATE: 04-13-2012
ENOLA PA 17025-3211 (See reverse side under Objections)
Amount Remitted -1
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE _ -'~ R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS t--
REV-1547 EX AFP C12-11) NOTICE OF INHERITANCE _ _______________
TAX APPRAISEMENT: ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: COULSON CARRIE RFILE N0 .:21 11-0203 ACN: 101 DATE: 02-13-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 167,500.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 7,113.31
6. Jointly Owned Property (Schedule F) ~6) .00
7. Transfers tSchedule G) ~7) .0 0
8. Total Assets CB) 174.613.31
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral ExpenseslAdm. Costs/Misc. Expenses (Schedule H) fig) 4.238.8 9
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 4 6>64 5.36
11. Total Deductions C11) 50,884.25
12. Net Value of Tax Return (ly) 123,729.06
13. Charitable/Governmental Bequ ests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax C14) 123,729.06
NOTE: If an assessment was issued previously, lines 14, 15 andtor 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to d ate.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate C15) 123,729.06 X 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) _nn x 045 = .00
17. Amount of Line 14 at Sibling rate (17) _D0 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 - .0 0
19. Principal Tax Due C19)= .00
TAX CREDITS:
rwrntNi RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX 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" (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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