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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 RECA?z~"
HARRISBURG PA 17128-0601
REM~~ z 0c ~ DATE 12-17-2012
, ~tL ESTATE OF SMITH ALICE C
Lu L~ + DATE OF DEATH 04-20-2012
FILE NUMBER 21 12-0494
CLERK `a COUNTY CUMBERLAND
HAROLD S IRWIN I@R,PHAN'S- C _ ACN 101
64 S PITT ST B~{{ - APPEAL DATE: 02-15-2013
CARLISLE C u A ~17 013 322 0` (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- 4-
REV-1547 EX AFP (12-12) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SMITH ALICE CFILE NO.:21 12-0494 ACN: 101 DATE: 12-17-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate CSchedule A) Cl) .00 NOTE: To ensure proper
.00 credit to your account,
2. Stocks and Bonds (Schedule B) C2)
. submit the upper portion
3. Closely Held Stock/Partnership Interest CSchedule 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) 9,042.02
6. Jointly Owned Property (Schedule F) (6) 3,045.03
7. Transfers (Schedule G) (7) .00
8. Total Assets C8) 12, 087.05
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 10,531, 50
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 160,046.75
11. Total Deductions (11) 170,578.25
12. Net Value of Tax Return (12) 158,491.20-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax (14) 158 , 491 .20-
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) 00 X 045 = .00
17. Amount of Line 14 at Sibling rate (17) -0L X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 = .00
19. Principal Tax Due (19)= .00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
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" (CR), YOU MAY BE DU
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.