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NOTICE OF INHERITANCE TAX pennsyLvania
R PS€ T ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INH Eau of INDIVIDUAL TAXES ~ C t ; NS AND ASSESSMENT OF TAX _
NHERITANCE TAX DIVISION n ~ REV-1547 IX AFP (12-11)
PO BOX 280601 1,,v i t n
HARRISBURG PA 17128-0601 ,-.,..J
^ DATE 08-06-2012
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" AUG 13 P1- 12: 22 ESTATE OF POLLAK JEFFREY D
DATE OF DEATH 01-03-2011
FILE NUMBER 21 11-0779
OhFtiP111f i) v~li T COUNTY CUMBERLAND
CRAIG A DIEHL ES6UMBER ND CO., PA ACN 101
3464 TRINDLE RD APPEAL DATE: 10-05-2012
CAMP H I L L PA 17011-4436 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS E-
REV-1547 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: POLLAK JEFFREY DFILE NO.:21 11-0779 ACN: 101 DATE: 08-06-2012
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON. ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .00 NOTE: To ensure proper
2. Stocks and Bonds CSchedule B) C2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) 00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 388.0 0
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers CSchedule G) (7) .00
8. Total Assets (8) 388.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 1,087, 09
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 00
11. Total Deductions C11) 1,087.09
12. Net Value of Tax Return C12) 699.09-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax (14) 699.09-
NOTE: If 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 C15) .00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16). n0 x 045 = .00
17. Amount of Line 14 at Sibling rate (17) nn x 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .00 X 15 = .00
19. Principal Tax Due (19)= .00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT
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" (CR), YOU MAY BE D
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. 4D