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Home My WebLink About12-21-12 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 C 0 HARRISBURG PA 17128-0601 ` y RE G ~J ~-R. OF DATE 12-17-2012 CEL 21 F 12 J1 DATE TOFODEATH 08-17-2011 MILDRED J _ FILE NUMBER 21 12-0979 CLE _ COUNTY CUMBERLAND JESSICA L FISHER ©RPHA NS' y -J T ACN 101 S TE C100 APPEAL DATE: 02-15-2013 555 GETTYSBURG PyhBERLAND . + (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: FOUGHT MILDRED JFILE NO.:21 12-0979 ACN: 101 DATE: 12-17-2012 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) 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) 24,381.42 6. Jointly Owned Property (Schedule F) (6) .0 0 7. Transfers (Schedule G) (7) 21,274.10 8. Total Assets (8) 45,655.52 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 364.98 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 24,016.44 11. Total Deductions (11) 24,381.42 12. Net Value of Tax Return (12) 21,274.10 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0 14. Net Value of Estate Subject to Tax (14) 21,274.10 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) .0 0 X 00 = .00 16. Amount of Line 14 taxable at Lineal/Class A rate C16) 21,274.1 n x 045 = 957.33 17. Amount of Line 14 at Sibling rate C17) . n0 X 12 = .00 18. Amount of Line 14 taxable at Collateral/Class B rate (18) .0 0 X 15 = 00 19. Principal Tax Due C19)= 957.33 TAX CREDITS: PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 09-10-2012 CDO16486 9.10- 966.43 12-10-2012 SBADJUST .00 .01 TOTAL TAX PAYMENT 957.33 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.