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INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~~y~~~ OWANCE OR DISALLOWANCE
INHERITgNCE TAX DIVISION rtCD.FRU , AND ASSESSMENT DF TAX
PU BOX 288601
HARRISBURG PA 171;8-0601
2QI2 JUL I 0 Pt112 14
~r~~f,. U
ttyyO~R~PHAN'S COURT
MARK E HALBRUNER ESQ ~"
STE 100
1013 MUMMA RD
L EMOYNE PA 17043-1144
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-154] EX AFP U2-1 L)
DATE 07-02-2012
ESTATE OF EDMUNDS LAURA O
DATE OF DEATH 08-31-2011
FILE NUMBER 21 11-1156
COUNTY CUMBERLAND
ACN 10:1
APPEAL DATE: 08-31-2012
(See reverse sia!e under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF pIILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE y
RETAIN LOWER PORTION FOR Y
--
REV-1547 EX AFP C12-11], NOTICE OF INHERITANCE OUR RECORDS F
TAX
DISALLOWANCE OF DEDUCTIONS APPRAISEME N T, ALLOWANCE OR
ESTATE OF: EDMUNDS AND ASSESS MENT OF TAX
LAURA OFILE N0.:21 11-1156 ACN: 101 DATE
'TAX RETURN WAS: (X) ACCEPTED AS FILED ( : 07-02-2012
)
APPRAISED VALUE OF RETUIRN BASED ON: ORIGINAL RETURN CHANGED
1. Real Estate (S <hedule A7
2. Stocks and Bontls (Schedule B) I1) •OU NOTE: To ensure
Proper
3. Closely Held Stock/Partnership Interest (Schetlul (2) •00 cre tlii to your account,
e C]
4. Mortgages/N Of es Receivable (Schedule D) I3) 00 submit the upper portion
of thi
5. Cash/Bank Deposits/Misc. Personal Property (Schetlul
C4)
•00 s form with your
tax payment.
e E)
6. Jointly Ownetl Property (Schedule F) IS) 9,916.86
7. Transfers (Schedule G) I6) 89,000.00
cn 56,639.07
e. Total Assets
APPROVED DEDUCTIONS ANDEXEMPTIONS: IB) 155.555 93
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage LiabilHties/Liens CS <hadule I) I9) )~-` 8
c1 o) 13.078
96
11. Total D d .
e uctlons
12. Net Value of lax Return
13. Charitable/Governmental BeQUasts; Non-elected 9113 Trus Ys (Schetlule J)
14. Net Value of Estate Subject to Tax
NOTE: If an assessmen t. was issued previously,
reflect figures that include the total
ASSESSMENT OF rax:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Lf ne 14 at Sdbling rate
lines 14, 15 and/or 16, 17, 18
of ALL returns assessed to date.
(157 ,DO_ x
18. Amount of Line 14 taxable at Collateral/Class B rake
19. Principal Tax Due
TAX CREDITS:
DATE I I .,..,.,,,vn~ is
NUMBER INTEREST/PEN PAID (-7
n7 9nl
ne7_ )~~- nA 7n-x
C17)~~~ X
cls)_~, 00. x
AMOUNT PgID
c117 32,249.24
ci 2) 123,306.69
(137 .00
a4) 123.306 69
and 19 will
00 UO
045 =_ 5_ 54g g0
12 ~ _~ U 0
15 ~ ~ UO
u9)= 5,548.80
TOTAL TAX PAYMENT
5,777.44
BALANCE OF TAX DUE 228.64CR
INTEREST AND PEN. .00
TOTAL DUE 228.64CR
~ IF PAID AFTER DATE INDICATED,, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL, INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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