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NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
p~AISEMENT, ALLOWANCE OR DISALLOWANCE REw-1x47 E% AFP Q2-lU
dfl(.r'fA61~'# ~ i ~1„~~F DEDUCTIONS AND ASSESSMENT OF TAX
BUREAU OF INDIVID ~i" ;;~~ l ,J
INHERITANCE TA% DIMS
PG egx zagsol '~"~.--~-' ~_~ _ ~ DATE 05-21-2012 W
HARRISBURG PA 1R2H-060I'- ~ HMAN (LAIR
i~ ~ ~;~1Y 29 F'3~ 3~ `L:;
ESTATE OF LE
ppTE OF DEATH 09-20-2011
FILE NUMBER 21 11-1017
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 07-20-2012
(See reverse side under 06jections )
Amount Remittedr
MAKE REGISTER OFB WI LNS REMIT PAYMENT TO:
1 COURTHOUSE: SQUARE
CARLISLE PA 17013
LINDA E ~IAQaI~p\~O~TPA `
9 KINGS ARMDSLT~
MECHANICSBURG PA 17050-2349
.~ RETAIN_LOWER_PORTION_FOR_YOUR_RECORDS_______
- - ALLOWANCE OR
CU_T-ALONG_THIS_LINE_________________ ppTE: 05-21-2012
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENA N F T101
REV-1547 EX AFP (12-11) NOTICE OF INH WFILE(NOT 21A1PRA017MENT.
(LAIR
ESTATE OF: LEHMAN ) ACCEPTED AS FILED I ) CHANGED
TAX RETURN WAS: ~ X ~~r::pw proper
APPRAISED VALUE OF RETURN BASED ON: -"--
1, Real Estate (Schedule A)
2, Stocks and Bonds (Schedule B)
3, Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule O)
5. Cash/Bank Deposits/Mist (SChedulelF)roperty (Schedule E)
(, Jo1nt1Y Owned Property
7, Transfers (Schedule G)
g, Total Assets EXEMPTIONS:
APPROVED DEDUCTIONS AND
9. Funeral Expenses/Adm. Costs/Misc. Expenses (SChetlule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11
12
13
00
(1) ~
(2) ~
I37 ~
c4) 6
(5) ~
(6) ~
NOTE: To ensure
credit to your account,
submit the upper PortSOn
of this form with Your
tax pay meet.
In ~~- 61 243.87
(8)
C9)~
115.73
c1D)~'-- 603 63
Total Detlucticns
Net Value of Tax Return Non-elected 9113 Trusts (SChetlule J7
Lharitabl a/Governmental Bequests;
14. Net Value ISnes 1 ,
NOTE: If an assessment was issued Previously,
reflect figures that include the total
ASSESSMENT OF TAX:
15, Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
4 at Sibling rate
1117 1,
59,640.24
u27 ,00
1137
59 640.24
1147
17, 18 and 19 will
tD data.
00
17, Amount of Lsne 1
at Collateral/Class
B rate
lg. AmounS of Line 14 taxable
1g, Principal Tax Due
TAX CREDITS: DISCOUNT It)
PAYMENT RECEIPT INTEREST/PEW PAID ~ )
DATE NUMBER 131.84
12-06-2011
CD015293
MUST BE MADE BY 06-20-2012*•
PAYMENT
* FO RP CAL CULAT IDNA DF ADDITIONAL INTERESTRSE
of ALL returns assessed
of Estate Subie<t to Tax 4 15 and/Or 16,
(15)~ ~ X 00
045
(16) y x
~ X 12
(17) X 15 ~--
c1 s) ~ C19) -~
AMOUNT PAID
,
TOTAL TAX PAYMENT 2,bsb.o~
99.48
BALANCE OF TAX DUE •00
INTEREST AND PEN. yy 48
TOTAL DUE
L-
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR). YOU MAY BE ggU
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRU LT IONSy
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