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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-8681
~C110~,~~F',~~~EQE'IANCE TAX
APPRAISF~F~T_,ALLOYIA~M~E OR DISALLOWANCE
OF DEDUCI"I'~TIIS ~ANb`YISSESSMENT DF TAX
GERALD J SHEKLETSKI ESQ
414 BRIDGE ST
PO BOX E
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-Ill
~?'? I~hR -5 P~E9 I2' DA~E
02-28-2012
CLERK Q= ESTATE OF HENNIGAN MARY S
ORPH,4iV'~ COURT /D~pICE NUMBERTM 21 11-0784
CLI~4RE~~I A,i`~Jn ~7_ P'~COUNTY CUMBERLAND
ACN 101
NEW CUMBERLAND PA 17070-0180
APPEAL DATE: 04-28-2012
(See reverse side under ObjecdionsJ
Amount Remitted--1
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SpUARE
CARLISLE PA 17013
CUT ALONG THIS LIN E
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ALLOWANCE
REV-1547 EX AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT,
SA OR
AND
OF DEDUCTIONS
L WANCE
DI ASSESS T OF TAX
MEN
ESTATE OF: HENNIGAN MARY SFILE N0.:21 11-0784 ACN: 101 DATE: 02-28-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) <1) .00 NOTE: To ensure proper
(p7 .00 credit to your account.
2. Stocks and Bonds (Schedule B) submit the upper portion
3. Clpsely Neltl Stock/Partnership Interest CSChetlule C) (3) .UD of this form with spur
4. Mortgages/Notes Receivable (Schedule D7 C4) •DO taz payment.
5. Cash/Bank Deposits/Misc. Personal Property (S<hedulo E) (5) 719,408.47
6. Jointly Ownetl Property (SChe du la F) (6) 35,175.76
7 Transfers (Schedule G) (7) 19,215.83
.
s. Total Assets (a7 773.800.06
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Atlm. Costs/Misc. Expenses (Schedule H) (9) ti.318.97
30 Debts/Mortgage Liabilities/Liens (Schedule I) C10) .DD
.
11. Total Deductions (11) 6.318.97
(127 767,481.09
12. Net Value of Tax Rekurn
13. Charitable/Governmental Bequests; Non-electetl 9113 Trusts (Schedul e JJ (13) .00
14. Net Value of Estate Su bjaGt to Tax (14) 767,481.09
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 aY Spousal rate (15) .00 )( 00 = .00
16. Amount of Line 14 taxable at Lineal/Class p rate (16) 7 67.4R1 .09 X 045 = 34,536.65
17. Amount of Line 14 at Sibling rate (17) .nn X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rake C187 .00 )( 15 = .00
19. Principal Tax Due (797= 34,536.65
TAY CR F_OTTSc
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
09-23-2011 CD014992 1,726.83 32,809.82
TOTAL TAX PAYMENT 34,536.65
BALANCE DF TAX DUE .00
INTEREST AND PEN. .DD
TOTAL DUE .00
+ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), VOU MAY BE D
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.