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BUREAU DF INDIVIDUAL rgxss nr~V'ARpR~~~}£ E OF INHERITANCE TAX
INHERITANCE TAX DIVISION (~~{"~.r r ALLOWANCE DR DISALLOWANCE
PO BOX 280601 I'SE.TIJ l,j9 k~~I;D I~DNS AND ASSESSMENT OF TAX
HARRISBURG PA I]128-0601
iCI2 JUL I 0 P~ 12~ ! 7
FL 6
112 MARKET ST
HARRISBURG PA 17101
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BRUCE D FOREMAN VUm~~~~ ""~~
APPRAISED VALUE OF RETURN BASED ON: ORIGINALE RETURNED
1. Real Estate (Schetlule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4• Mortgages/Notes Receivable (Schetlule D)
5. Cash/Bank Deposits/Misc. Personal Property (SChetlule E)
6. Jointly Owned Property (Schetlule F)
7. Transfers (Schetlule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Atlm. Costs/Misc. Expenses (Schetlule H)
10. Debts/MOrtga9e Liabilities/Liens (SChetlule I)
11
12
13
14
I1) -. UD
(2)
~ 4
~ 9050,36
I3) -. UD
(4) -~00
(5) 7~,g56,36
I6) -. UD
In -DU
pennsy(vania ~
DEPARTMENT OF REVENUE
REV-154] EX AFP (12-ill
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
(B) )20 906
(9)- 487 16
IlD)_ 3~0 1~ o
Total Dedue if ons
Net Value of Tax Return
Charitable/Governmental Bequests; Non-eleetetl 9113 Trusts (Schetlule J)
Net Value of Estate Subj eet to Tax
NOTE: If an assessment was issuetl
I11) 39,620.23
nz) 81,286.49
(13)
(14) 81,28
reflect figures that include the tot l~ofl ALL returns assesse dl to7 date.
ASSESSMENT OF TAX: and 19 will
15. Amount of
Line 14 a4 Spousal rate
16. Amount of Line 14 taxable at LSneal/Cla (15)~ ~D X 00 =
17. Amount of Line 14 at Sibling ss A rate
rat (16)- R 1 2R6 /q
~~ x
045 = ~- '~D
18. Amount of
Line 14
taxable
t e
~~ X
12 3,657 89
19. Principal
Tax Due a Collateral/Class B rate (1B)
-00
7AX CREDITS: - - X 15 -
~00
~
PAYMENT _
(197 _
3, 6
5
RECE IPT '~ ~
~
DATE DISCOUNT (+)
NUMBER INTEREST/PEN PAID ( ) AMOUNT PAID
13 2011 CD014956
I I 114.67- l~-
TOTAL TAT( PAYMENT
BALANCE OF TAX DUE 6,972.24
INTEREST AND PEN 3,314.35CR
.00
* IF PAID AFTER DATE INDICATED, SEE REVERSE TOTAL DUE 3,314.35CR
FDR CALCULATION DF gpDITIONAL INTEREST. IF TDTAL DUE IS REFLECTED AS A ~~CREDIT'~ (CR), YOU MAY
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIDUE
ROWFILE
Page 1
( X) CHANGED
CUT ALONG THIS LINE 013
"----------- _ ~ R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS f-~
REV-1547 EX AFP (12-ill NOTICE OF INHERITANCE TAX AppgpISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: VERDIER
BETTY OFILE N0.:21 11-0633
ACN: 101 DATE: 06-25-2012
TAX RETURN WAS; ( ) A
DarE o6-zs-zolz
ESTATE OF VERDIER
DATE OF DEATH 12-28-2009 BETTY p
FILE NUMBER 21 11-0633
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: OS-24-2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYggLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17
Ax „~Fx,o,_,o,
` t~ '~;~~ Pennsylvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TA%ES
PO Box 280607
Betty O Verdier
Brett Walker
SCHEDULE I ITEM
NO.
I he value of the
arithmetic.
INHERITANCE TAX
EXPLANATION
OF CHANGES
has been
EXPLANATION OF CHANGES
as the resu
2111-0633
101
an error
ROWFILE
Paae 1