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~r r-,.r,-..-hN~.~E.~Q`F INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~'~~'~'~A'~~'E~'~N6i~ I/fLLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION {"'~,^7
PD eox 2eocol I :~..! ~~~ka~'~[b~S AND ASSESSMENT OF TAX
HARRISBURG PA 17128-0601
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CLARK C~
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GEORGE F DOUGLAS I~~~~~~~'~ ~~"~' ~!`' '^'~
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354 ALEXANDER SPRING
CARLISLE PA 17015-7451
Pennsylvania ~`~,r
DEPARTMENT OF REVENUE
REY-1547 EX AFP (12-11)
DATE 03-19-2012
ESTATE OF DUMM DENIS M
DATE OF DEATH 08-09-2011
FILE NUMBER 21 11-1049
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 05-18-2012
(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 ---- ~ RETAIN LOWER PORTION FOR YOUR
-------------------- ----------- RECORDS E~
REV-15
------------
47 EX AFP C12-11~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE _
______
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: DUMM DENIS MFILE N0.:21 11-1049 ACN: 101 DATE: 03-19-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALU
E OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 00
2.
Stocks and Bonds (Schedule B) (2) .
,QO NOTE: To ensure proper
credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .00 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D)
C4)
00 of this form with your
5.
Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) .
1,5 00.00 tax payment.
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) 21,000.00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: (8) 22,500.00
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q) .Olr, 00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 8,0 00.00
11. Total Deductions
12•
Net Value of Tax Return C11) 13, 015.00
13.
Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule (12)
J) (13) 9,485.00
.00
14. Net Value of Estate Subject to Tax
C14) 9,485.00
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16
17
18
,
reflect figures that include the total of ALL returns assessed to ,
and 19 will
date
ASSESSMENT OF TAX: .
15 Amount of Li .
ne 14 at Spousal rate C15) 9,485.00 )( 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) n
17. Amount of
Line 14 at Sibling
rate p x 045 =
.00
(17) 00 X 12 =
18. Amount of Line 14 taxable at Collateral/Class B rate (18) 0 0 15 =
19. Principal
Tax Due .
X .00
TAX CREDITS:
(19)=
. 00
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.