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NOTICE OF INHERITANCE TAX Pennsylvania ~
BUREAU OF INDIVIDUAL
INxER1TAHGE rAx Drvls lDx TA ~n~-~~,- '~ R ENT, ALLOWANCE OR DISALLOWANCE
~`~"~~~~-I'' "' ~
UCTIONS AND ASSESSMENT OF TAX
~~ DEPARTMENT OF REVENUE
PO BOX 280601 ,
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HARRISBURG PA 17128-0601 "
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LOUIS FA2EKA~~gFRLAND CO., PA
6043 EDWARD DR
MECHANICSBURG PA 17050-6817
DATE 08-20-2012
ESTATE OF MILLER ESTHER K
DATE OF DEATH 01-25-2011
FILE NUMBER 21 11-0264
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 10-19-2012
(See reverse side under Objections)
Amount Renitted~- .~
MAKE CHECK PAYABLE AND REMIT PAYMENT TD:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG 7HIS LINE ---- ~ RETAIN LOWER PORTION FOR YOUR RECORDS (--~ _
REV-1547 EX AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: MILLER ESTHER KFILE N0.:21 11-0264 ACN: 101 DATE: 08-20-2012
TAX RETURN WAS: CJ() ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1- Real Estate (Schedule A7 ()) 139,000.00
2. Stocks and Bontls (Schedule B) (2) .00
3. Clpsaly Held Stock/Parine rship Into rest CSchadul¢ C) (3) .00
4. Mortgages/Notes Receivable (Schedule D7 (4) .00
5. Lash/Bank Deposits/Misc. Pa rsonal Property (Schadul¢ E) (57 50,508.00
6. Jointly Owned Property (Sehedul¢ F) (6) .00
7. Transfers (Sch¢tlule G) (77 .00
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
e. Total assets (8) 189.508.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H7 (9) 6.47 9.00
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 3.25 7.00
11. Total Deductions (117 9,736.00
12. Net Value of Tax Return (12) 179,772.00
13. Charitable/Governmental Bequests; Non-ele<tetl 9113 Tr usts (Schedule J) (13) .00
14. NeY Value of Estate Su bj act to Tax C14) 179.772.00
NOTE: If an assessment was issued previously. lines 14, 15 and/or 16
17 18 and 19
ill
reflect figures that include the total of ALL ,
,
w
returns assessed to date.
ASSESS MENT OF TAX:
15. Amount of Line 14 at Spousal rata (15) .00 X 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rata (167 179.777 00 X 045 = 8,090.00
17. Amount of Line 14 at Sibling rate C17) 00
. X 12 .00
18. Amount of Line 14 taxable at Collateral/Class B rate (187 .00 X 15 - .00
19. Principal Tax Due (197= 8
09
TAX CR
D ,
0.00
E
ITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
05-02-2012 CD015923 .00 3
650
00
05-02-2012 CD015924 126.04- ,
.
4,875.00
TOTAL TAX PAYMENT 8,398.96
BALANCE OF TAX DUE 308.96CR
INTEREST AND PEN. .00
TOTAL DUE 308.96CR
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A ^CREDIT•' CCR), YOU MAY BE DYC
FDR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. •i