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(~r~r BUREAU ~T, a E OF INHERITANCE TAX Pennsylvania
OF INDIVIDUAL TAXES l'Q~EE'Rd ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION( 8F! . IONS AND ASSESSMENT OF TAX
HA DEPARTMENT OF REVENUE
BOX 280601 ~ .t.. (12-I1)
HARRISBURG PA 17128-0601 REV-1547 EX AFP
70112 OCT -9 PH 3: 34 DATE
10-01-2012
ESTATE OF WALTON RICHARD A
DATE OF DEATH 02-15-2012
UsP {r;i~1 ~ui~! FILE NUMBER 21 12-0232
LISA MARIE COYNPtWRLAND CO., PA COUNTY CUMBERLAND
3901 MARKET ST ACN 101
CAMP HILL APPEAL DATE: 11-30-2012
PA 17011-4227 (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 _ -01 --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: WALTON RICHARD AFILE NO.:21 12-0232 ACN:
101 DATE: 10-01-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B) C1) 0 0 NOTE: To ensure proper
3. Closely Held Stock/Partnership Interest (Schedule C) C2) 0 0 credit to your account,
4. Mortgages/Notes Receivable (Schedule D) (3) 0 0 submit the upper portion
(4) O 0 of this form with your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) tax payment.
6. Jointly Owned Property (Schedule F) (5) 28, 061.07
7. Transfers (Schedule G) C6) .0 0
(7) • 00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: 28,061 07
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 12,400, q7
10. Debts/Mortgage Liabilities/Liens (Schedule I)
(lo) 6,746 09
11. Total Deductions
12. Net Value of Tax Return (11) 19, 14 41 146.66
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (12) 8,914.41
14. Net Value of Estate Subject to Tax (13) 00
NOTE: If an assessment was issued Previously, (14) 8,914.41
reflect figures that include the total of1ALL returns asses ed'tod to 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 CC1665) 0 ) ) 1 •41 X 00 = .00
17. Amount of Line 14 at Sibling rate 8,914.4 X 045 = 401.15
c1n- nn x 12 =
18. Amount of Line 14 taxable at Collateral/Class B rate (18) 00
19. Principal Tax Due 00 X 15 = 00
TAX CREDITS: (19)° 401.15
PAYMENT RECEIPT
DATE DISCOUNT
NUMBER INTEREST/PEN PAID AMOUNT PAID
05-15-2012 CDO15974
20.06 500.00
TOTAL TAX PAYMENT
520.06
BALANCE OF TAX DUE
118.91CR
INTEREST AND PEN. .00
TOTAL DUE 118.91C
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.