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NOTICE OF INHERITANCE TAX pennsylvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (12-12)
PO BOX 280601
HARRISBURG PA 17128-0601
REC°_~..
DATE 12-24-2012
ESTATE OF GARDOSIK ELIZABETH M
RECD £ R GA- L _a N.;
DATE OF DEATH 09-28-2011
Cul? C`!y L ~ Fi 1, 1FILE NUMBER 21 11-1103
COUNTY CUMBERLAND
GREGORY M KERWIN ACN 101
4245 STATE ROUTE 209 C LEE APPEAL DATE: 02-22-2013
E L I ZA B E T H V I L L E PA 17 WUV~ `s U i 1 (See reverse side under Objections)
CUMBERLAND NCO., P Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER POR_TION_ FOR YOUR RECORDS 4-
REV 1547 EX AFP (12-12) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: GARDOSIK ELIZABETH MFILE NO.:21 11-1103 ACN: 101 DATE: 12-24-2012
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 161,098.50 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 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) 775.18
6. Jointly Owned Property (Schedule F) (6) 2,016.27
7. Transfers (Schedule G) (7) 75, 024.17
8. Total Assets (8) 238,914.12
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 34,693.86
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 35,633.04
11. Total Deductions (11) 70,326.90
12. Net Value of Tax Return (12) 168,587.22
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax (14) 168,587.22
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 (15) 00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 168.587.22 X 045 = 7,586.42
17. Amount of Line 14 at Sibling rate (17) .n n X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) 00 X 15 = .00
19. Principal Tax Due (19)= 7,586.42
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
12-19-2011 CDO15366 379.32 8,200.00
TOTAL TAX PAYMENT 8,579.32
BALANCE OF TAX DUE 992.90CR
INTEREST AND PEN. .00
TOTAL DUE 992.90CR-
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DU
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.