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NOTICE OF INHERITANCE TAX pennsylvarna ; ~ "
~~~, , ~t~~giA~LS,~1~~jNT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES' _
INHERITANCE TAX DIVISION J'~;_" 1. !; 4? OAF tp~D~iCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (12-11)
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HARRISBURG PA 17126-0601
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i i ~ . ~ ~ i~ ~. ( J ~ 1 i ~ .. ~. 't DATE 04-09-2012
ESTATE OF HYSICK ARLENE A
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C~Er+,, DATE OF DEATH 08-06-2006
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~ FILE NUMBER 21 06-0744
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W S DANIELS
ACN 101
STE 205 APPEAL DATE: 06-0 8-2012
1 W H I G H S T (See reverse side under Objections )
CARLISLE PA 17013-2951 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 ~
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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: HYSICK ARLENE AFILE N0 .:21 06-0744 ACN: 101 DATE: 04-09-2012
TAX RETURN WAS: (X) ACCEPTE D AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) •00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
3.
Closely Held Stock/Partnership Interest (Schedule .00
C) C3) submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) 1,288.31 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) .00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets C8) 1.288.31
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q) 8,412.01
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions (11) 8,412.01
12. Net Value of Tax Return (12) 7,123.70-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax (14) 7s123.70-
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
17. Amount of Line 14 at Sibling rate
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns assessed to date.
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-)
(15) .00 X
C16) _ 00 X
C17) _ 00 X
C18) .00 X
AMOUNT PAID
00 - .00
045 = . 0 D
12 = .00
15 = .00
(19)= . 00
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.