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BUREAU OF INDIVIDUAL TAXES ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION 1D= IONS AND ASSESSMENT OF TAX REV-1547 EX AFP (12-11)
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HARRISBURG PA 17128-0601-+J
DATE 10-08-2012
2012 OCT -9 Pi's 3' 3 I ESTATE OF STAMBAUGH BLANCHE A
DATE OF DEATH 09-27-2011
FILE NUMBER 21 11-1084
QAP~-!N""S' "Lj Ij T COUNTY CUMBERLAND
LOWELL R GATES ABERLMD CO FA ACN 101
STE 100 APPEAL DATE: 12-07-2012
1013 M U M MA RD (See reverse side under Objections)
LEMOYNE PA 17043-1144 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: STAMBAUGH BLANCHE AFILE NO-:21 11-1084 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 CSchedule A) (1) .00 NOTE: To ensure proper
2. Stocks and Bonds CSchedule B) (2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest CSchedule C) C3) 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) 19,699.41
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) 252,379.58
8. Total Assets (8) 272,078.99
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 10,6 31.69
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 1,200.60
11. Total Deductions CII) 11,832.29
12. Net Value of Tax Return (12) 260,246.70
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax C14) 260,246.70
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) 26n.246.70 ,x 045 = 11,711.10
17. Amount of Line 14 at Sibling rate (17) -nn x 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 = .00
19. Principal Tax Due C19)= 11,711.10
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
12-22-2011 CDO15387 526.32 10,000.00
06-27-2012 CDO16196 .00 1,184.78
TOTAL TAX PAYMENT 11,711.10
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* 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.