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NOTICE OF INHERITANCE TAX pennsylvania ~
BUREAU OF INI7IVIDUAL TAxE~t'Q~~P~T, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISIaN Lr~(~~r-• j',~ ( TIONS AND ASSESSMENT OF TAX DEPARTMENT OF REVENUE
HARRISBURG6PA 1]128-0681 ~~~5~~ ~IT ~~J REV-1547 EX AFP (12-ill
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R THOMAS MU Rt~~~vVURJp~
STE 306 ~• m
14 N MAIN ST
C HAMBERSBURG PA 17201-1814
DATE Oil-02-2012
ESTATE OF HEELER JANET M
DATE OF DEATH 11-28-2011
FILE NUMBER 21 12-0237
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: OS-31-2012
(See reverse side under Objections)
Amount Renitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE P74 17013
CUT ALONG T'N IS LINE 1 RETAIN LOWER PORTION FOR YOUR REC O_RDS (-~
REV-1547 EX: AFP C12-10.) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: HEELER JANET MFILE N0.:21 12-0237 ACN: 101 DATE: 07-02-~n1~
'~ TAX RETURN WqS: (X ) ACCEPTED AS FILED
APPRAISED VALUE OF RE,URN BASED ON: ORIGINAL RETURN
1. Real Estate (Sche tlt~la A)
2. Stoc ks~ and Bontls (~chetlule B)
3. Closely Held StockdPartnership Interest (Schedule C7
4. Mortgages/Notes Reoeivable (Schedule D)
5. Cash/Bank Deposits/IM is<. Personal Property (Schedule E)
6. Jointly Ownetl Prop eirty (Schedule F)
7. Transfers (Schetlul e'. G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/A d'm. Costs/Mis<. Expenses (Schedule H)
10. Debts/IMO rY9age Liabji lines/Liens CSehetlule I)
11
iz
13
14
Total :Deductions
Net Va:Lue of Tax ReRurn
Cheri gable/GOVernmehtal Bequests; Non-elected 9113 Trusts (Schedule J7
Net Vague of Estate Subject to Tax
NOTE: If an assessnet
(11) 1,852.00
(lz) 219,389.00
(13) .00
(147 219.389 00
4 was issued previously, lines 14, 15 and/or 16 17
18
reflect fi9uref that
include the total
of ALL , , and 19 will
ASSESSMENT OAF TAX: returns asses sed to date.
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rat C15) -~ x 00 = .00
17. Amount of Line 14 at Sibling e
rate (161 91~- +';i.R~ x 045 = 9,873.00
18. Amount of Line 14 talxable at
Collateral/Class B an nn x 12 = .00
19. Principal Tax Due ra te C18)
00
x
15 =
.OB
TAX CREDITS: n97_
_ y
8_ 7308
DATE NUMBER INTEREST/PEN PAID (-)
'n _~nlo - e
* IF PAID AFTER DATE INDICAT D, SEE REVERSE
FOR CALCULAT ICIN OF ADDITIORAL INTEREST.
I
( ) CHANGED
(1) .00
(2) .00
(37 .00
(4) .00
(5) 1,284.00
(w 1,158.00
(7) 218,799.00
NOTE: To ensure proper
credit to your accpunt,
submit the upper portion
of this form wl th your
tax payment.
(B7 221.241 00
(9) 7 .68 00
uo) 168.00
AMOUNT PAID
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
,873
65CR
00
65CR
IF TOTAL DUE IS REFLECTED AS A ^CREDIT" (CR), VOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS
_. ~