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NOTICE OF INHERITANCE TAX pennsylvania --4-
BUREAU R ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES r JL''Ltt L_~~
INHERITANCE TAX DIVISION ~ ~ ~ ^'fJ ~BLG'1~ ON$ AND ASSESSMENT OF TAX REV-1547 EX AFP (12-11)
Po BOX 280601
HARRISBURG PA 17128-0601 p •t..'1
201~9 32 EDATE STATE OF KRAUSSE012 JEWELL M
DATE OF DEATH 01-17-2012
FILE NUMBER 21 12-0124
ORPHAIJ S vU1-1R; COUNTY CUMBERLAND
MURREL WALTERS &4JV, D CO., PA ACN 101
54 E MAIN ST APPEAL DATE: 12-07-2012
MECHANICSBURG PA 17055-3851 (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 F-
REV-1547 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: KRAUSSE JEWELL MFILE NO.:21 12-0124 ACN: 101 DATE: 10-08-2012
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate CSchedule A) (1) 139,237.75 NOTE: To ensure proper
00 credit to your account,
2. Stocks and Bonds (Schedule B) (2)
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) 186,881.12
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) 00
8. Total Assets (8) 326,118.87
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 16,416.19
10. Debts/Mortgage Liabilities/Liens CSchedule I) C10) 3,768.43
11. Total Deductions (11) 20, 184.62
12. Net Value of Tax Return (12) 305,934.25
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) 305,934.25
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) 309i.934-25 X 045 = 13,767.04
17. Amount of Line 14 at Sibling rate C17) -nn x 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 = .00
19. Principal Tax Due (19)= 13,767.04
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
04-13-2012 CDO15838 684.21 13,000.00
07-11-2012 CDO16238 .00 117.04
TOTAL TAX PAYMENT 13,801.25
BALANCE OF TAX DUE 34.21CR
INTEREST AND PEN. .00
TOTAL DUE 34.21(
* 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.