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BUREAU OF INDYVIDUAL TAXES
INHERITANCE TAX DIVISION
PD BOX 280601
HARRISBURG PA 17128-0601
~ NOTICE OF INHERITANCE TAX
7~ [~'LDWANCE OR DISALLOWANCE
^^19'UtJRV~r f yUC,~ ~~S AND ASSESSMENT OF TAX
212 JUN 15 PM 2Y 25
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WAYNE F SHADE ESQ VIAND CO., PA
53 W POMFRET ST
CARLISLE PA 17013-3217
pennsylvania
DEPARTMENT OF REVENUE
REY-1547 EX AFP 112.11)
DATE 06-11-2012
ESTATE OF ORRIS JAMES E
DATE OF DEATH 05-06-2010
FILE NUMBER 21 10-0713
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: OS-10-2012
(See reverse side under Objections)
Astount Restitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TD:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ---- -:-- RETAIN LOWER PORTION FOR YOUR RECORDS t~
REV-1547 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEM ENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSES SMENT OF TAX
ESTATE OF: ORRIS JAMES EFILE N0.:21 LO-0713 ACN: lpl DATE: 06-11-2012
TAX RETURN WAS: C X) ACCEPTED AS FILED (~ ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 2.181.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credlt to your account.
00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) . of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 4 5,643.80
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) (7) .00
e. Total Assets (e) 47.824.80
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expensos/Adm. Costs/Misc. Expanses (Schedule H) (q) 14.281.43
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 49.313.40
11. Total Deductions C11) 63,594.83
12. Net Value of Tax Return (12) 15,770.03-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedu le J) C13) .0~
14. Net Value of Estate Subject to Tax C14) 15,770.03-
NOTE: If an assessaent was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect fisures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Lina 14 at Spousal rate
16. Amount of Line 14 taxable at LinealJClass A rata
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable et Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
us) .00 x 00 = .00
us) ~~o x 045 = .00
c1n -~~ x 12 = .00
(1B) .oo x 15 = .ao
(19)= , 00
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-) 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 IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY HE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.