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` t~D'4E OF INHERITANCE TAX pennsylvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE,
INHERITANCE TAX DIVISION C'? OCT - I 1 PT39NS AND ASSESSMENT OF TAX REV-1547 EX AFP (12-11)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 10-08-2012
ORPHIWv'~ 1~1Pir ESTATE OF COLDREN DANIEL R
CUMBEBL'NND CO., PA DATE OF DEATH 09-16-2011
FILE NUMBER 21 11-1043
COUNTY CUMBERLAND
SAMUEL L ANDES ACN 101
525 N 12TH ST APPEAL DATE: 12-07-2012
L EMOYNE PA 17043- 1245 (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 4--
---------------------------------------------------------RECORDS--4
REV-1547 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: COLDREN DANIEL RFILE NO.:21 11-1043 ACN: 101 DATE: 10-08-2012
TAX RETURN WAS: ( X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON. ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 139,500.00 NOTE: To ensure proper
2. Stocks and Bonds CSchedule B) C2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest CSchedule C) (3) 00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) 32,200.0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 269,139.07
6. Jointly Owned Property CSchedule F) (6) .00
7. Transfers (Schedule G) (7) 29,424.30
8. Total Assets C8) _ 470,263.37
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 41,212.32
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 485.26
11. Total Deductions (11) 41,697.58
12. Net Value of Tax Return C12) 428,565.79
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 428,565.79
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 (16) 00 x 045 = .00
17. Amount of Line 14 at Sibling rate (17) _On X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) 428,565.79 X 15 = 64,284.87
19. Principal Tax Due C19)= 64,284.87
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
12-05-2011 CDO15295 2,368.42 45,000.00
07-11-2012 CDO16240 .00 16,916.45
BALANCE OF UNPAID INTEREST/PENALTY AS OF 07-12-2012 TOTAL TAX PAYMENT 64,284.87
BALANCE OF TAX DUE .00
INTEREST AND PEN. 34.68
TOTAL DUE 34.68
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.