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NOTICE OF INHERITANCE TAX Pennsylvania ~
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ISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUr~~~ ~~~
INHERITANCE TAX DIV ISI v'.
VI-9f DEDUCTIO NS AND ASSESSMENT OF TAX REV-tso] EX AFP uz41)
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HARRISBURG6PA 17128-0681'"""~~"" {~
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2DI2 JUL I O CC
PM i2' I DATE 07-02-2012
U ESTATE OF ALTIGIERI FRANCES M
v:
WILLIAM ~ '- ~p~
102 APPALOOSA WA ' rI1
ETTERS PA 17319-9304
DATE OF DEATH 11-07-2011
FILE NUMBER 21 11-1367
COUNTY CUMBERLAND
ACN 1D1
APPEAL DATE: OS-31-2012
(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 ---- ~ RETAIN LOWER PORTION FOR YOUR RECORDS F
REV-1547 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEME NT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESS MENT OF TAX
ESTATE OF: ALTIGIERI FRANCES MFILE N0.:21 11-1367 ACM: 101 DATE: 07-02-2012
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RET URN
1. Real Estate (Schedule A) (1) •00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
DO submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) , of this form with your
4. Mortgages/Nokes Receivable (Schedule D) (4) •00 Yax payment.
5. Lash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 7,661.00
6. Jointly Ownetl Property (Schedule F) (61 .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (e) 7.661.00
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Exp¢ns¢s (SChetlule H) (9) 345.00
30. Debts/Mortgage Liabilities/Li¢ns (Schedule I) C10) 2.191.00
11. Total Deductions (11) 2,536.00
12. Net Value of Tax Return (12) 5.125.00
13. Charitable/Governmental Bequesks; Non-elect¢tl 9113 Tr usts (Schedule J) (13) .00
14. Net Value of Estate Subject tp Tax (14) 5,125.00
NOTE: If an assessment was issued previously, 1.1 nes 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 Line 14 at Spousal rake (15) .0D 7( 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 5.19E-00 x 045 = 231.00
17. Amount of Line 14 at Sibling rake (17) .OD X 12 = .00
18. Amount pf Line 14 taxable at Collateral/Class B rate (18) .00 )( 15 - .00
19. Principal Tax Due (19)= 231.00
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
02-27-2012 CD015645 .00 231.00
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FDR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX PAYMENT 231.00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAV~BE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.