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~n~ !+~~F~~.~~C~'1 ~ I HERITANCE TAX Pennsylvania ~
APP~A•I~~~MBN.TIJF~U~~NCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ~; ,~
INHERITANCE TAX DIVISION OK',,~,~iD~IV4S"~~~-~D ASSESSMENT OF TAX REV-1547 EX AFP C12-11>
PO BOX 280601 v+ ` Y .+-'J
HARRISBURG PA 17128-0601
2t j` `'~r•~ ~~ fti'~ ~~: ~y DATE 06-05-2012
ESTATE OF GEARHART DAVID L
C~„~~t;~ ~~,~ DATE OF DEATH 02-26-2011
~n ~~~'~ ~r~J J u~~j~~T FILE NUMBER 21 11 -0432
DONIS H ZAGURSKIE 4UM~j'~~~, ~A COUNTY CUMBERLAND
ACN 101
117 MAIN ST APPEAL DATE: 08-04-2012
PO BOX 0 (See reverse side under Objections)
MIFFLIN PA 17058-0915 Amount Remittedr l
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 E~
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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: GEARHART DAVID LFILE N0.:21 11-0432 ACN: 101 DATE: 06-05-2012
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) 180,500.00
NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) ,00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 89, 124.92
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) (7) 174, 109.70
s. Total assets ca) 443.734.62
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q) 45.8 98.60
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .00
11. Total Deductions
C11)
45,898.60
12. Net Value of Tax Return (12) 397,836.02
13. Charitable/Governmental Bequests; Non-elected 9113 Tr usts (Schedule J) C13) _ 13,914.94
14. Net Value of Estate Subject to Tax (14) 383, 921.08
NOTE: If an assessment was issued previously, li nes 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that, include the total of ALL returns assessed to d ate.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate C15) .00 X 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) X83.9?1 .O8 X 045 = 17,276.45
17. Amount of Line 14 at Sibling rate (17) .00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .00 X 15 - .00
19. Principal Tax Due C19)= 17,276.45
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
11-23-2011 CD015255 .00 17,276.45
TOTAL TAX PAYMENT 17,276.45
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER DATE INDICATEp, 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. n
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