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r/~ y NOTICE OF INHERITANCE TAX pennsyLvarna
BUREAU OF INDIVIDUAL TAXEREC~ I~ !~'PPI°'~+ E®FNT, ALLOWANCE OR DISALLOWANCE J
INHERITANCE TAX DIVISION r DEPARTMENT REVENUE
PO BOX 280601 ,OF'SUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AF P
(lz-u)
HARRISBURG PA 17128-0601
!`#Z OCT -9 PM 3: DATE 10-01-2012
ESTATE OF ROYER WENDY K
DATE OF DEATH 06-15-2011
QRrPI-.f5 vQ~)!r FILE NUMBER 21 11-0738
GARY L JAMES IRERLAND (;0., PA COUNTY CUMBERLAND
134 SIPE AVE ACN 101
APPEAL DATE: 11-30-2012
HUMMELSTOWN PA 17036-9162 (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 1~ 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: ROYER WENDY KFILE NO.:21 11-0738 ACN: 101 DATE: 10-01-2012
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 0 0
2. Stocks and Bonds (Schedule B) NOTE: To ensure proper
C2) •00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) 00 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D) of this form with your
C4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 30,163.74
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: 30,163 74
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 9,610.27
10. Debts/Mortgage Liabilities/Liens CSchedule I) (10) 21,110 22
11. Total Deductions
12• Net Value of Tax Return (11) 30, 720.49
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) 556.
00
14. Net Value of Estate Subject to Tax •0 0
C14) 556.75-
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 0 0 _
(1s) x 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16)
nn x 045 = .00
17. Amount of Line 14 at Sibling rate
(17) nn x 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due 00 X 15 = (10
TAX CREDITS: C19)= .00
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 D
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.