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NOTICE OF INHERITANCE TAX ■ l 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 (09-12)
PO BOX 280601
HARRISBURG PA 17128-0601
REC0RCE'~ n-
" DATE 12-10-2012
REGISTER OF
ESTATE OF ALSBAUGH DAVID K
DATE OF DEATH 05-16-2010
221g 4 DEC 1~7 ! R1 U!1 FILE NUMBER 21 10-0605
COUNTY CUMBERLAND
WILLAIM P DOUGLAS CLERK 4 ACN 101
43 W SOUTH ST ORPHANS, C APPEAL DATE: 02-08-2013
CARLISLE PA 604 9 L3~ N ID C (See reverse side under Objections)
R1M CKLA 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 APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: ALSBAUGH DAVID KFILE NO-:21 10-0605 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 CSchedule A) Cl) .00 NOTE: To ensure proper
2. Stocks and Bonds CSchedule B) (2) 4,196.30 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 CSchedule D) C4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 9,015.82
6. Jointly Owned Property (Schedule F) (6) 3,205.99
7. Transfers (Schedule G) C7) 4,102.28
8. Total Assets (8) 20,520-39
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule H) (9)- 6,745.52
10. Debts/Mortgage Liabilities/Liens CSchedule I) (10) 00
11. Total Deductions (11) 6,745.52
12. Net Value of Tax Return (12) 13,774.87
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) 6,466. 60
14. Net Value of Estate Subject to Tax (14) 7,308.27
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 C15) .00 X 00 = .00
16. Amount of Line 14 taxable at lineal rate (16) -nn X 045 = .00
17. Amount of Line 14 at sibling rate (17) 7.308.27 X 12 = 876.99
18. Amount of Line 14 taxable at collateral rate C18) .00 X 15 = .00
19. Principal Tax Due (19)= 876.99
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
09-05-2012 CDO16476 .00 716.68
INTEREST IS CHARGED THROUGH 12-25-2012 TOTAL TAX PAYMENT 716.68
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 160.31
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 42.23
TOTAL DUE 202.54
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT CCR), YOU MAY BE DLLE'
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS. '~h!!