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NOTj;IFE OF INHERITANCE TAX pennsylvania
BUREAU OF INDIVIDUAL TAXES ~p 6WANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
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INHERITANCE TAX DIVISION AND ASSESSMENT OF TAX
PO BOX 280601 ~-{{r^ REV-1547 EX AFP (12-11)
HARRISBURG PA 17128-0601 ' "-lI C"' 279 12 OCT -9 PM 3= 32 DATE 10-08-2012
ESTATE OF YOVAN DORIS
DATE OF DEATH 04-28-2012
FILE NUMBER 21 12-0557
ORPHMS v. LIPJ COUNTY CUMBERLAND
ANDREW C SHEELY ESQ CUM1EPubND CQ. PA ACN 101
127 SOUTH MARKET ST APPEAL DATE: 12-07-2012
PO BOX 95 (See reverse side under Objections)
MECHANICSBURG PA 17055-0095 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: YOVAN DORIS FILE NO.:21 12-0557 ACN: 101 DATE: 10-08-2012
TAX RETURN WAS: ( X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) 99,421 .44 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable CSchedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 6,259.00
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers CSchedule G) (7) 300,580.15
8. Total Assets (8) 406,260.59
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 8,392, 10
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 884.56
11. Total Deductions CII) 9,276.66
12. Net Value of Tax Return C12) 396,983.93
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax C14) 396,983.93
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) .0 0 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 00 x 045 = .00
17. Amount of Line 14 at Sibling rate (17) _n0 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) 396,983.93 X 15 = 59,547.59
19. Principal Tax Due C19)= 59,547.59
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
06-28-2012 CDO16186 2,977.38 56,570.30
TOTAL TAX PAYMENT 59,547.68
BALANCE OF TAX DUE .09CR
INTEREST AND PEN. .00
TOTAL DUE 09C
+ 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.
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