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NOTICE OF INHERITANCE TAX pennsylvania i
BUREAU OF APPRAISE NT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TX INDIVIDUAL DVISION TAXEtS f}I;!,h"1; ~Sq
IINER CTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (12-11)
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PO BOX 280601 ! , - a 1fl Q
HARRISBURG PA 17128-0601~`~~
DATE 10-01-2012
20 2 OCT -'9 PM 3: 34 ESTATE OF MARTIN JOHN Z
DATE OF DEATH 07-02-2010
FILE NUMBER 21 12-0484
GERALD J BRINSErRp~~- NJ T COUNTY CUMBERLAND
6 E MAIN ST CUMBERLAND CO., PA ACN 101
APPEAL DATE: 11-30-2012
PO BOX 323 (See reverse side under Objections)
PALMYRA PA 17078-1710 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--4 -
REV-1547 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: MARTIN JOHN ZFILE NO.:21 12-0484 ACN: 101 DATE: 10-01-2012
TAX RETURN WAS: ( X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate CSchedule A) (1) .00 NOTE: To ensure proper
2. Stocks and Bonds CSchedule B) (2) 5,431 .20 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 (Schedule D) (4) 00, tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) .00
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) (7) 00
8. Total Assets (8) 5,431.20
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 756.50
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 00
11. Total Deductions (11) 756.50
12. Net Value of Tax Return C12) 4,674.70
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) 4,674.70
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) 4,674.70 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 (18) .00 X 15 = .00
19. Principal Tax Due (19)= .00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT
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" (CR), YOU MAY BE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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