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OTICE OF INHERITANCE TAX pennsylvania
BUREAU OF INDIVIDUAL TAR' ~USEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ` _`d~'F';I.DUCTION$ AND ASSESSMENT OF TAX REV-1547 EX AFP (12-11)
PO BOX 280601
HARRISBURG PA 17128-0601
2012 OCT -9 PH 3:.31 DATE 10-08-2012
ESTATE OF DOUGHERTY AUSTIN C
DATE OF DEATH 04-09-2012
~C11~`11Vu Vvt;ilj FILE NUMBER 21 12-0499
~3FLAND CQ pq COUNTY CUMBERLAND
ALBERT J HAJ ACN 101
STE A APPEAL DATE: 12-07-2012
1300 MARKET ST (See reverse side under Objections)
LEMOYNE PA 17043-1420 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: DOUGHERTY AUSTIN CFILE NO.:21 12-0499 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) Cl) .00 NOTE: To ensure proper
2. Stocks and Bonds CSchedule B) C2) 100, 173.86 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 (Schedule D) (4) •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 123. 12
6. Jointly Owned Property (Schedule F) C6) 00
7. Transfers (Schedule G) C7) 00
8. Total Assets C8) 100,296.98
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 26,610.26
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 00
11. Total Deductions C11) 26,610.26
12. Net Value of Tax Return C12) 73, 686.72
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchedule J) C13) .00
14. Net Value of Estate Subject to Tax (14) 73,686.72
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 cis) 73, 686.72 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) .nn x 045 = .00
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 C19)= .00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID AMOUNT PAID
TOTAL TAX PAYMENT .00
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" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.