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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- -t.} -
g'`~ - r DATE 12-24-2012
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ESTATE OF RILEY PATRICK E
DATE OF DEATH 12-28-2011
L" FILE NUMBER 21 12-0375
~COUNTY CUMBERLAND
JESSICA L FISHER CL t_,.`a ACN 101
STE C100 APPEAL DATE: 02-22-2013
555 G E T T Y S B U R G P I K (f`s r( See reverse side under Objections)
MECHANICSBURG PA 17055-5204
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT-ALONG -THIS -LINE --RETAIN-LOWER-PORTION-FOR-YOUR-RECORDS- REV 1547 EX AFP (12-12) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: RILEY PATRICK EFILE NO.:21 12-0375 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) .00
6. Jointly Owned Property (Schedule F) (6) 19,215.13
7. Transfers (Schedule G) (7) 00
8. Total Assets (8) 19,215.13
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 5,962.36
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 328.34
11. Total Deductions (11) 6,290.70
12. Net Value of Tax Return (12) 12,924.43
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax (14) 12, 924.43
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) 6,462.22 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 6,462-21 X 045 = 290 .80
17. Amount of Line 14 at Sibling rate (17) -nn X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 = .00
19. Principal Tax Due (19)= 290.80
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
03-28-2012 CDO15755 14.54 410.70
TOTAL TAX PAYMENT 425.24
BALANCE OF TAX DUE 134.44CR
INTEREST AND PEN. .00
TOTAL DUE 134.44tD
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. 4