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NOTICE OF INHERITANCE TAX pe'nnSy~Vanla ~
BUREAU OF INDIVIDUAL TAJ~~~?~~~` ENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~.T.~ -j'~ ~- r~,~ UCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP C12-11)
PO BOX 280601 ~~~} ~ [;(~ ?~i t!'
HARRISBURG PA 17128-0601
~iC AU~ -6 PM != Z+i DATE 07-30-2012
ESTATE OF BOONE MARY I
DATE OF DEATH 11-09-2011
uLC,'•'"+wti ~.~~~ FILE NUMBER 21 12-0327
~~~~ ~~T COUNTY CUMBERLAND
MARILYN SHE~~ ~„ {~ ACN 101
924 W TRINDLE RD APPEAL DATE: 09-28-2012
MECHANICSBURG PA 17055-4091 (See reverse side underObjeetions)
ABtount Reuitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~--) RETAIN LOWER PORTION FOR YOUR RECORDS ~
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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: BOONE MARY IFILE N0 .:21 12-0327 ACN: 101 DATE: 07-30-2012
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) •00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B)
.00
C2)
credit to your account,
00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule .
C) C3) 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) 4,205.48
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) C7) .00
8. Total Assets C8) 4 , 205.48
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Cg) 8.304.26
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions (11) 8,304.26
12. Net Value of Tax Return C12) 4,098.78-
13. Charitable/Governmental Bequests; Non-elected 91 13 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 4,098.78-
NOTE: If an assess<,ent 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
17. Amount of Line 14 at Sibling rate
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns assessed to date.
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
(15) .00 X
C16) _ OD X
C17) _ ~~ X
cis) • 00 x
00 = .00
045 = .00
12 = .00
15 = .00
C19)= .00
P DATE T I RNUMBER I INTEREST/PEN PAID C-) I 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" (CR), YOU MAY BE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.