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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
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HERSHEY PA 17033-1570
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DEPARTMENT OF REVENUE
REV-154] EX AFP U2-11J
DATE o7-oz-zolz
ESTATE OF HEBEL DONALD L
DATE OF DEATH 10-03-2010
FILE NUMBER 2l 10-1125
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 08-31-2012
(See reverse side under Objections
Anount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
20! 2 Ji1L ! 0 PM 12~ I 1
CUT ALONG THIS LINE ~- RETAIN LOWER PORTION 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: HEBEL DONALD LFILE N0.:21 10-1125 ACN: 101 DATE: 07-02-2012
TAX RETURN WAS: (X ) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate CSChetlule A) (L] .00
NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
3. Closely Heltl SYOCk/Partnership Interest (Schedule C) (3) OB submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 6,545.86
6. Jointly Owned Property (Schetlule F) (6) .00
7. Transfers (Schetlule G) (7) .00
8. Total Assets (8) 6.545.06
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Atlm. Costs/Misc. Expenses (Schetlule H) (9) 1.999.78
10. Debts/Mortgage Liabilities/Liens (Schetlule I) (10) 25.017.14
11. Total Detluctions (11) 27,016.92
12. Nat Value of Tax Return (12) 20,471.86-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J7 (13) .00
14. Net Value of Estate Subject to Tax (14) 20.471.86-
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect fi8ures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Lina 14 at Spousal rate (15) .00 X 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate (167 -nn X 045 = .00
17. Amount of Line 14 at Sibling rate (177 -00 X 12 ' .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 7( 15 - .80
19. Principal Tax Due (19)= .00
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-) AMOUNT PAID
x IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE ~~
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.