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r FNOTICE OF INHERITANCE TAX pennsylvania
T - DEPARTMENT OF REVENUE job
BUREAU OF INDIVIDUAL TAXES LOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION J I1~A.LQS AND ASSESSMENT OF TAX REV-1547 EX AFP (12-11)
PO BOX 280601
HARRISBURG PA 17128-0601,`, s!-_~.`J
12 0CT _9 PPS 3: 32 DATE 10-08-2012
ESTATE OF POLITZER-HARDY MICHAEL D
DATE OF DEATH 02-17-2012
_T FILE NUMBER 21 12-0377
C~p '•S GOUR? COUNTY CUMBERLAND
BRADLEY L GRIFFIE CUMBERLAND CO_ PA ACN 101
200 N HANOVER ST APPEAL DATE: 12-07-2012
CARLISLE PA 17013-2423 (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 E-
REV-1547 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: POLITZER-HARDY MICHAEL DFILE NO.:21 12-0377 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) C1) .00 NOTE: To ensure proper
2. Stocks and Bonds CSchedule B) C2) 4,980.6 3 credit to your account,
submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) 00 of this form with your
4. Mortgages/Notes Receivable CSchedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property CSchedule E) (5) 19,757.15
6. Jointly Owned Property (Schedule F) C6) 764.86
7. Transfers (Schedule G) C7) .00
8. Total Assets (8) 25,502.64
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule H) C9) 11,099.76
10. Debts/Mortgage Liabilities/Liens (Schedule I) CIO) 1,4 70.75
11. Total Deductions C11) 12,570.51
12. Net Value of Tax Return (12) 12,932.13
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax C14) 12,932.13
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 C15) .00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 1 2.932, 1 x 045 = 581 .95
17. Amount of Line 14 at Sibling rate (17)0 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 = .00
19. Principal Tax Due (19)= 581.95
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
04-27-2012 CDO15906 29.10 1,200.00
TOTAL TAX PAYMENT 1,229.10
BALANCE OF TAX DUE 647.15CR
INTEREST AND PEN. .00
TOTAL DUE 647.15CR
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DU
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.