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NOTICE OF INHERITANCE TAX pennsyLvania
BUREAU OF INDIVIDUAL TAXES REC0 ;'ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION -rFJk1L~TI NS AND ASSESSMENT OF TAX REV-1547 EX AFP (12-12)
PO BOX 280601 R
HARRISBURG PA 17128-0601 n C
? CEC 21 [ )o DATE 12-17-2012
ESTATE OF MARKEL RUTH R
C LE ~K C DATE OF DEATH 01-01-2012
0RP HA NS)' i', j~ FILE NUMBER 21 12-0104
C~lIBERL, COUNTY CUMBERLAND
HAROLD S IRWIN 7 Y!' Ar% D' ACN 101
64 S PITT ST APPEAL DATE: 02-15-2013
CARLISLE PA 17013-3220 (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 ---)--RETAIN-LOWER-PORTION-FOR-YOUR-RECORDS- E-
REV-1547 EX AFP (12-12) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: MARKEL RUTH RFILE NO.:21 12-0104 ACN: 101 DATE: 12-17-2012
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 35,000. 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) 346.67
6. Jointly Owned Property (Schedule F) (6) 00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 35, 346.67
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 13,3 0 5.18
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 19,765. 81
11. Total Deductions C11) 33, 070.99
12. Net Value of Tax Return (12) 2,275.68
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax (14) 2,275.68
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) 2.275.68 X 045 = 102.41
17. Amount of Line 14 at Sibling rate (17) .0 0 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 = .00
19. Principal Tax Due (19)= 102.41
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
09-20-2012 CDO16525 .00 102.41
TOTAL TAX PAYMENT 102.41
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
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.