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~~~( ~CE OF INHERITANCE TAX p J
NT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ~~~.'`,.: _ .;.. ,
INHERITANCE TAX DIVISION "-'~~~ ~ ~- ~ QF ~ CTIONS AND ASSESSMENT OF TAX
REV-1547 EX AFP C12-11)
PO BOX 280601
HARRISBURG PA 17128-0601
~~1I~ SAP -7 FI# 12~ 3
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OP;PI-`~ti~'~ ~G~1~~
C[1MBERLI~VD CO., PA
GERALD J BRINSER
6 EMAIN ST
PO BOX 323
PALMYRA PA 17078-0323
DATE 09-03-2012
ESTATE OF CASSEL NORMA G
DATE OF DEATH 12-17-2011
FILE NUMBER 21 12-0136
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 11-02-2012
(See reverse side under Objections )
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE _ -- R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS ~- _ _______________
REV-1547 EX AFP C12-11~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: CASSEL NORMA GFILE N0.:~1 ~~-nla~ ecN: )nl nerc. no_nz_~ni~
TAX RETURN WAS: C 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)
cl) .00
c2) .00
c3) .00
I4) . 00
c5) 76, 724.27
c6) .00
c7) 213, 256 .68
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
ca) 289.980.95
fig) 14.711.10
clo) 8.232.02
11. Total Deductions C11) 22,943.12
12. Net Value of Tax Return I12) 267, 037.83
13. Charitabl e/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) 267.0 37.8 3
14. Net Value of Estate Subject to Tax (14) .00
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflec t 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 0 0 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) _nn x 04 5 = .00
17. Amount of Line 14 at Sibling rate (17) .nn X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B ra te C18) .00 X 15 - .00
19. Principal Tax Due I19)= .00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE
NUMBER
INTEREST/PEN PAID
(-) 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 BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. (~~