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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
AP~t~i1~~1~r~~LCC~ANCE TOR DISALLOWANCE
(~,~~~UCf;~•(1Nb~ ND ASSESSMENT OF TAX
pennsylvania'~~:_• ~,``~y.
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-11)
PAUL D DAGGS ESQUIRE
DETHLEFS PYKOSH LLC
2132 MARKET ST
CAMP HILL PA 17011-4706
DATE 05-14-2012
ESTATE OF AUGUSTINE ELIZABETH R
DATE OF DEATH 01-14-2011
FILE NUMBER 21 11-0281
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 07-13-2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
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t_
GlJ'rlBE~lJ:u°1J ~~ , F r~
CUT ALONG THIS LINE ---- ~) RETAIN LOWER PORTION FOR YOUR
-------------------- ----------- RECORDS F-"
REV-15 ------------
47 EX AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE _____________
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: AUGUSTINE ELIZABETH RFILE N0.:21 11-0281 ACN: 101 DATE
: 05-14-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAI SED VALU
E OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) 132, 000
00
2.
Stocks and Bonds (Schedule B) (2) .
00 NOTE: To ensure proper
credit t
, o your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D)
(4)
00 of this form with your
5.
Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) .
12,012.36 tax payment.
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) 11 , 118.39
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: (s) 155, 130.75
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q) _ 1 .9 4 06
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 85 0.71
11. Total Deductions
12•
Net Value of Tax Return (11) 16,774.77
13.
Charitable/Governmental Bequests; Non-elected 9113 Trusts C12)
(Sched
l 138,355.98
14.
Net Value of Estate Subject
to Tax u
e J) (13) .00
(14) 138.355.98
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16
17 18
reflect figures that
include the total
of ALL ,
,
returns and 19 will
ASSESSMENT OF TAX: assessed to d ate.
15. Amount of Line 14 at Spousal rate (15) 00
00 =
16.
Amount of Line 14 taxable at
Lineal/Class A rate
(16) .
X
738
3F:r .00
17.
Amount of Line 14 at Sibling
rate .
, 98 X 045 = 6,226.02
(17) .00 X 12 =
18. Amount of Line 14 taxable at Collateral/Class B ra te (18) 00
15 =
19.
Principal Tax Due .
X .00
TAX CREDITS:
(19)=
6,226.02
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
11-07-2011 CD015181 00
11-07-2011
CD015180 . 2,052.84
11-07-2011
CD015179 .00
2,052.84
11-07-2011 CD015178 '00 2,120.34
12.25- 12.25
TOTAL TAX PAYMENT 6,226.02
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE
FOR CALCULATION OF INDICATED,
ADDITIONAL SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR),
INTEREST YOU MAY BE DUE
. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.