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NOTICE OF INHERITANCE TAX
APPRAISEMENT ~ Pennsylvania
BUREAU OF INDIVIDUAL TAXES , ALLOWANCE OR DISALLOW ANCE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF T AX DEPARTMENT OF REVENUE
PO BOX 280601 R E C O REV-1547 IX AFP (09-12)
HARRISBURG PA 17128-0601 G V
R D E D Q~ ~~ G~ C~
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DATE 11-26-2012
1
ID
~~~L ~~U `~O ft~ ~
T
O U MARJORIE E
. I
.
ATE
OF
DEATH 02
20-2012
C~.ERI( {}~ FILE NUMBER 21 12-0412
LISA MARIE COYNE
3901 ESQ COUNTY
QRPNANS coURr ACN CUMBERLAND
101
MARKET ST ~~I~AND C~.
CAMP HILL PA 17011- , ~A
APPEAL DATE: 01-25-2013
(See reverse side under Objections
Amount Re^itted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE -- y RETAIN LOWER PORTION FOR YOUR
---------------------- ------------- RECORDS ~
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REV-1547 EX AFP C12-11~ NOTICE OF INHERITANCE TAX APPRAISEM
ENT, ALLOWANCE
-----------
OR
DISALLOWANCE OF DEDUCTIONS AND ASSES SMENT OF TAX
ESTATE OF: HOUCK MARJORIE EFILE N0.:21 12-0412 ACN: 101 DATE: 11-2b-2012
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED
VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 0 0
2. Stocks and Bonds (Schedule B) .
QO NOTE: To ensure proper
c
dit
(2) , re
to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .0 0 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D)
C4)
• 00 of this form with your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5)
15,6 68.5 0 tax payment.
6. Jointly Owned Property (Schedule F) C6) 131 , 829.87
7. Transfers (schedule G) ~7) 82, 961.31
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: c8) 0.459 68
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) cy) 1. 98. 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) - 0
11. Total Deductions
cll) 13,598.50
12. Net Value of Tax Return 216,861.18
(12)
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax C13) 0 0
c14) 216,861.18
NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17, 18 and/or 19 will
reflect figures that
ASSESSMENT OF TAX: include the total of all returns assessed to date.
15. Amount of Line 14 at spousal rate C15) 216,861
18 00
16
Amount of Li .
X = .00
.
ne 14 taxable at lineal rate (16)- ~ ~ 04 5 =
17. Amount of Line 14
t X .0 0
a
sibling rate (17) ~ 0
18. Amount of Line 14 t -
X 12 =
.0 0
axable at collateral rate cls) 00 x 15 =
19. Principal Tax Due . .00
TAX CREDITS: c19)= . 00
yTneni I 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 CCR], YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.
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