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NOTICE OF INHERITANCE TAX pennsy vania
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 R-~+
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R1CG DATE 12-24-2012
ESTATE OF BOOKS EDGAR F
DATE OF DEATH 12-24-2011
FILE NUMBER 21 12-0187
CL f7F`~_' t 7 COUNTY CUMBERLAND
KEITH 0 BRENNE *,,,~S( ACN 101
44 W MAIN ST I' APPEAL DATE: 02-22-2013
a j-, r (See reverse side under Objections)
PO BOX 318
MECHANICSBURG PA 17055-0318 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUTALONG -THIS -LINE --RETAIN-LOWER-PORTION-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: BOOKS EDGAR FFILE NO.:21 12-0187 ACN: 101 DATE: 12-24-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
. submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) 00 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) 13,926.29
6. Jointly Owned Property (Schedule F) (6) 5,488.16
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 19,414.45
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 7,34 7.0 3
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 14,255.24
11. Total Deductions (11) 21,602.27
12. Net Value of Tax Return (12) 2, 187.82
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax (14) 2,187.82-
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) 5,488.16 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) .0 0 x 045 = .00
17. Amount of Line 14 at Sibling rate (17) - 00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 = .00
19. Principal Tax Due C19)= .00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
1
* 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.