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NOTICE OF INHERITANCE TAX N Pennsylvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE LLA 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_?L
KEGS TER O ',,!_LS DATE 02-26-2013
pp tp u ESTATE OF MOHLER GOLDIE E
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~utIIII I Pl I 12 99 DATE OF DEATH 03-09-2012
FILE NUMBER 21 12-0370
CLERK COUNTY CUMBERLAND
CRAIG A HATCH ESQ ORPHANS, COURT ACN 101
STE 100 APPEAL DATE: 04-27-2013
1013 MUMMA RD CUMBERLAND CO., PA (See reverse side under Objections)
LEMOYNE PA 17043-1144 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: MOHLER GOLDIE EFILE NO.:21 12-0370 ACN: 101 DATE: 02-26-2013
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .01) NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) 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) .0 0
6. Jointly Owned Property (Schedule F) (6) 9,458.87
7. Transfers CSchedule G) (7) 434,516.35
8. Total Assets (8) 443,975.22
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 18,553.59
10. Debts/Mortgage Liabilities/Liens (Schedule I) CIO) 00
11. Total Deductions
(ll) 18,553.59
12. Net Value of Tax Return (12) 425,421.63
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchedule J) (13) .00
14. Net Value of Estate Subject to Tax C14) 425,421.63
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) .001X 00 = .00
16. Amount of Line 14 taxable at lineal rate (16) 429i.421 .64 X 045 = 19,143.97
17. Amount of Line 14 at sibling rate (17) .00 X 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Due (19)= 19, 143.97
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
06-08-2012 CDO16081 957.20 20,500.00
TOTAL TAX PAYMENT 21,457.20
BALANCE OF TAX DUE 2,313.23CR
INTEREST AND PEN. .00
TOTAL DUE 2,313.23CR
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A.CREDIT CCRYOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.