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NOTICE OF INHERITANCE TAX pennsytvarna
BUREAU OF INDIVIDUAL TAXES IFr~PR~ ;I~F_Mbo h•ALLOWANCE OR DISALLOWANCE .7
- DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION VF'- ~T DNS AND ASSESSMENT OF TAX
PO BOX 280601
HARRISBURG PA 17128-0601 REV-1547 EX AFP (12-11)
ZP1L OCT _9 PM 3: 3 J DATE 10-01-2012
ESTATE OF ALFANO DOMENICA A
DATE OF DEATH 10-15-2011
FILE NUMBER 21 12-0081
DAVID H STONE ESQ 0R' C"),G U i COUNTY CUMBERLAND
414 BRIDGE ST CUMBERLAR0 CO., PA ACN 101
NEW CUMBERLAND PA 17070-1927 APPEAL DATE: 11-30-2012
(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 - - * --RETA_IN LOWERPOR_TION_ FOR YOUR - RECORDS - -F-
REV-1547
REV-1547 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
- - - - - -
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: ALFANO DOMENICA AFILE NO.:21 12-0081 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 (Schedule A)
2. Stocks and Bonds (Schedule B) (C12) .00 NOTE: To ensure proper
3. Closely Held Stock/Partnership Interest (Schedule C) 00 credit to your account,
(3) ,00 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D) of this form with your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C4) 00 tax payment.
6. Jointly Owned Property (Schedule F) (5) 13, 974. 25
7. Transfers (Schedule G) (6) .00
(7) .00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: (B) 1-3,974.25
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9)- 11.4-99.48
10. Debts/Mortgage Liabilities/Liens CSchedule I)
(lo) 359,256 51
11. Total Deductions
12. Net Value of Tax Return ((1112)) 3 70,755
.99
74-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 3_56,781. -
14. Net Value of Estate Subject to Tax (1 .0 0
(144) ) 356,781.74-
NOTE: If an assessment was issued previously, lines 14, 15 and/or' 16 1, 18
reflect figures that include the total of ALL returns asses ed,to7date and 19 will
ASSESSMENT OF TAX:
15. Amount of Line 14 at spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate (15) ~0 X 00 = .00
17. Amount of Line 14 at Sibling rate cC117) X 045 = -0 0
n- no x 12 = .00
18. Amount of Line 14 taxable at collateral/Class B rate (18)
19. Principal Tax Due X 15 = .00
TAX CREDITS: (19)= 00
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" (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.