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p(p NOTICE OF INHERITANCE TAX pennsyLvarna
BUREAU OF INDIVIDUAL TAXES iR~:"' ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION --,00 IMPUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 C L'` 77 REV-1547 EX AFP (12-11)
HARRISBURG PA 17128-0601
2N? OCT _9 PH 3: 31 DATE 10-08-2012
ESTATE OF EPPLEY ARLENE A
DATE OF DEATH 07-29-2011
FILE NUMBER 21 11-0927
ORtPHA,N S v)UR COUNTY CUMBERLAND
KEITH 0 BRENNE00MBRL "D CO., PA ACN 101
44 W MAIN ST APPEAL DATE: 12-07-2012
MECHANICSBURG PA 17055-6249 (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
REV-1547-EX-AFP-(12-11 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: EPPLEY ARLENE AFILE N0.:21 11-0927 ACN: 101 DATE: 10-08-2012
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule 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) 102, 009.99
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) C7) 218,068.30
8. Total Assets (8) 320,078.29
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 6,399.28
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 3,270.65
11. Total Deductions (11) 9,669.93
12. Net Value of Tax Return (12) 310,408.36
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax C14) 310,408.36
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 (15) .00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 31n.408. 6 x 045 = 13,968.38
17. Amount of Line 14 at Sibling rate (17) _0 0 X 12 = .00
18. Amount of Line 14 taxable at collateral/Class B rate C18) .00 X 15 = .00
19. Principal Tax Due (19)= 13,968.38
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID AMOUNT PAID
10-24-2011 CDO15104 698.42 14,000.00
TOTAL TAX PAYMENT 14,698.42
BALANCE OF TAX DUE 730.04CR
INTEREST AND PEN. .00
TOTAL DUE 730.04CR
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE D E
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.