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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17126-0601
LYDIA KELLER ~~E~~ ~~,
2703 COLUMBIA AVE pRPNAtdS' COJ~T
CAMP HILL PGail~l7~E~~tLANG ~~ ' ~~
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS .AND ASSESSMENT OF TAX
~ Pennsylvania
DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-12)
DATE 01-07-2013
ESTATE OF MILLER LILA S
DATE OF DEATH 01-14-2012
FILE NUMBER 21 12-0999
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 03-08-2013
(See reverse side under Objections )
Awount Rewitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
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REV-1547 EX AFP C12-12~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: MILLER LILA SFILE N0.:21 12-0999 ACN: InI nerF. ni_n~_~niz
TAX RETURN WAS: C ) ACCEPTED AS FILED ( X) CHANGED $EE ATTACHED NOTICE
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) 170, 000
00
. NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) .QO credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .00 submit the upper portion
4.
Mortgages/Notes Receivable (Schedule D)
(4)
0 0 of this form with your
. tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 2,5 4 3.0 0
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) (7) .0 0
B. Total Assets Cs) 172,543.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)- 3,3 38.74
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 118,019.71
11. Total Deductions C11) 121,358.45
12. Net Value of Tax Return C12) 51,184.55
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) _ .00
14. Net Value of Estate Subject to Tax C14) _ 51 , 184 .55
NOTE: If an assesswent 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 C15) .0 0 X 0 0 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) S1 . 1 R4 _ ~~ x 045 = 2, 303.30
17. Amount of Line 14 at Sibling rate C17) On
=
_
X 12 .0 0
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .0 0 X 15 - .00
19. Principal Tax Due (19)= 2,303
30
TAX CREDITS: .
rnrntni RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
10-06-2012 CD016611 .00 2,438.30
TOTAL TAX PAYMENT 2,438.30
BALANCE OF TAX DUE 135.000R
INTEREST AND PEN. .00
TOTAL DUE 135.ODCR
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
DECEDENT'S NAME
Lila S. Miller
REVIEWED BY
Tamika Washington
INHERITANCE TAX
EXPLANATION
OF CHANGES
LE NUMBER
2112-0999
101
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
The value of the estate has been adjusted as the result of the correction of an error in
arithmetic.
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