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NOTICE OF INHERITANCE TAX pennsylvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
~DLIC ff" ,AtR ASSESSMENT OF TAX ib,INHERITANCE TAX DIVISION ti ii 1t V P' REV-1547 IX AFP (09-12)
PO BOX 280601
HARRISBURG PA 17128-0601 REGISTER UF "-!IL5 S
} L DATE 12-10-2012
UT DEC 17 ❑ fiI 11 '51 ESTATE OF HOUSEMAN ELLA J
DATE OF DEATH 06-05-2012
CLERK OF FILE NUMBER 21 12-0645
QRPHANS' COO T COUNTY CUMBERLAND
ANDREW H SHAW ESQ
101
STE 11 CUMBERLAND CO., P ACN APPEAL DATE: 02-08-2013
200 S SPRING GARDEN S (See reverse side under Objections)
CARLISLE PA 17013-2578 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 (12-11) NOTICE OF INHERITANCE TAX APPRAISE;-ENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: HOUSEMAN ELLA JFILE NO.:21 12-0645 ACN: 101 DATE: 12-10-2012
TAX RETURN WAS: ( X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) Cl) .00
NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) 1,667.82 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) 00 submit the upper portion
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) 4,360.00
6. Jointly Owned Property CSchedule F) (6) 18,304.38
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 24,332.20
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 1,659.40
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 1,727.10
11. Total Deductions
(ll) 3,386.50
12. Net Value of Tax Return (12) 20,945.70
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax C14) 20,945.70
NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17, 18 and/or 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 rate C16) 7n .94r, _ 70 X 045 = 942.56
17. Amount of Line 14 at sibling rate (17) .0 0 X 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Due (19)= 942.56
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
09-04-2012 CDO16465 47.13 895.43
TOTAL TAX PAYMENT 942.56
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 DUE y...
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.