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NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~~~ ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~~~~ - NS AND ASSESSMENT OF TAX
PO BOX 280601 ~ ,~,If ' - ~~~{l'
HARRISBURG PA 17128-0601 ~`"i7`!"~ ~'~~ ~~'~-~+~:
(1) 5,000.OD NOTE: To ensure proper
(2) .00 credit to your account,
(3) .00 submit the upper portion
of this form with your
C4) .00 tax payment.
~5) 14,595.02
c6) .00
v) .00
Lt~IG F11-1'~ Ag~,~; ~~ DATE 06-05-2012
~tU(1 Hf l ESTATE OF MCPHERSON PEARL V
DATE OF DEATH 12-31-2009
u1 ~-~r '~.~= FILE NUMBER 21 10-0039
~H~~S Gt?Un~' COUNTY CUMBERLAND
GWEN WALDOH ~.~~ ACN 101
308 W MAIN ST APPEAL DATE: 08-04-2012
WALNUT BOTTOM PA 17266-9715 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ---- ~) RETAIN LOWER PORTION FOR YOUR RECORDS F~
-------------------- ----------------------------------------------------------------
REV-1547 EX AFP C12-11~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: MCPHERSON PEARL VFILE N0.:21 10-0039 ACN: 101 DATE: 06-05-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-11)
c8) 19.595.02
(9) 9.783.09
clo)_ 12,158.38
11. Total Deductions
cil)
21,941.47
12. Net Value of Tax Return X12) 2,34b.45-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax C14) 2,34b.45-
NOTE: It 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 at Spousal rate (15) .00 X 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) .OD x 04 5 = .'00
17. Amount of Line 14 at Sibling rate C17) .00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B ra te (18) .00 X 15 - .00
14. Principal Tax Due (19)= .00
TAX CREDITS:
'ric^' Kt~-tlr~ DISCOUNT (+) I AMOUNT PAID
DATE NUMBER INTEREST/PEN 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" (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. n