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~n ICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES~ 'PRA~'~NT, ALLOWANCE OR DISALLO Pennsylvania
WANCE
INHERITANCE TAX DIVISION , iE - k6UCTI ONS AND ASSESSMENT OF TAX 280601 HARRIBOXSBUURG RG PA PA 17128-0601 DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-11) _..r
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ll'?OCjT T9 PM 3: 33 DATE 10-01-2012
ESTATE OF DONIVAN ROYAL S
DATE OF DEATH 05-04-2011
CC tJPPt~h i i ~J~J~i I FILE NUMBER 21 11 - 0564
CATHY S WATERSC)MBER AND CO., PA COUNTY CUMBERLAND
116 W HILLCREST DR ACN 101
APPEAL DATE: 11-30-2012
CARLISLE PA 17013-1215 (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 F--
REV-1547 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: DONIVAN ROYAL SFILE NO.:21 11-0564 ACN: 101 DATE: 10-01-2012
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
Cl) NOTE: To ensure
2. Stocks and Bonds (Schedule B) Proper
C2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) 00 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D) of this form with your
(4) tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 4,569.79
6. Jointly Owned Property (Schedule F) C6) 196.04
7. Transfers (Schedule G) C7) .00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: 4,765 83
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 12,161 49
10. Debts/Mortgage Liabilities/Liens (Schedule I)
(1o) 642.18
11. Total Deductions
12. Net Value of Tax Return (11) 12,803.67
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) 8,037.84-
14. Net Value of Estate Subject to Tax .00
C14) 8,037.84-
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)
16. Amount of Line 14 taxable at Lineal/Class A rate X 00 .00
C16)_ 196, 0 x 045 = 8.82
17. Amount of Line 14 at Sibling rate
(17) n0 x 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due X 15 = .00
TAX CREDITS: C19)= 8 82
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID AMOUNT PAID
12-27-2011 CDO15391 .00
8.82
TOTAL TAX PAYMENT
8.82
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 DUI
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.