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NtiTICE OF INHERITANCE TAX � �����`iy`V�I��a
APPRAISEMENT, ALL.OWANCE OR DISALLOWANCE pEPARTMENTOFREVENUE
sua�,au oF INDZVIDUA�. �axES pF DEDUCTI�JNS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION REV-1547 IX AFP C09-12)
Pp BOX 280601
HARRIS$URG PA 17128-Ob01 ���t1����, ������ ��
V
���,����� (�� �������.� DATE Q3-25-2013
ESTATE OF HILLISON STACIE L
ti?��� ��� �� �� � �� DATE DF I)EATH 08-11-2012
FILE NUMBER 21 12-1113
��E�� ��` CCiUNTY GUMBERLAN�
GEORGE B FALI.ER JR
10 E NIGH ST �"j�����r`..r': ����� ACN �pPEAI. DATE: 05-24-2013
CARL I SL E PA�1������ !�Q.. P� (See reverse side under Objections)
A�ount Remitted�- ��
MAKE CHECK PAYAB�E AND REMIT PAYMENT T�1:
REGISTER OF WILLS
1 C�URTNOUSE SQUARE
CARL.ISLE PA 17013
CUT ALONG TNIS LINE � RETAIW LOWER PORTIdN F�IR YOUR RECORDS �
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REV-I547 EX AFP C12-11� NCITIGE OF INHERITANCE TAX APPRAISEMENT, ALI.DWANCE OR
' DISALLOWANCE tJF DEDUCTIQNS AND ASSESSMENT OF TAX
ESTATE OF: HILLISON STACIE LFILE N0. :21 12-1113 ACN: 101 DATE: 03-25-2013
TAX RETURN WAS: C X} ACCEPTE� AS FZLED C ? CHANGED
: APPRAISED YAIUE QF' RETURN BASED tJN: �RIGINAL RETURN
l. Real Estate CSchedule A) (1) •�a NOTE: Ta ensure proper
2. Stocks and Bcnds CSchedule B3 C2} 3 0 3.2 9 credit to vour accaunt,
.0 0 submit the upper portion
3. Clasely Held Stock/Partnership Interest CSchedule C) (3) of this form with your
4, Mortgages/Nates Receivable CSchedule D) C4} •�� tax payment.
5. CashlBank DepositstMisc. Personal Praperty CSchedule E3 C5} '�p
: 6, Jaintly Owned Property CSchedule F� C6) 2'714'0�
7, Transfers C�ehedule 6� C7} '��
8. Total Assets C8) 3,017.37
APPRCtVED DEDUCTIflNS AND EXEMPTIDMS:
9. F�aneral Expenses/Adm. Gosts/Misc. Expenses CSchedu2e N} tq} 6 f 903.?2
10, Debts/Mortgage Liabilities/Liens CSchedule I) t10) •�Q
11. Total Deductions {lI} b,903.7�2
12. Net Yalue of 7ax Return C12� '��886.35-
13. Charitablel6overnmental Bequests; Non-elec#ed 9113 Trusts CSchedule J� �13� •�d
14. Net Value af Estate Sub�ect to Tax C1�� 3,88b.35-
NOTE: If an assessment was issued previously, L3nes 14, 15, lb, 17, 18 and/or 19 will
reflect figures that include the total t�t all returns assessed to date.
ASSESSMEMT fJF TAX:
15. Amount of l.ine 14 at spousal ra#e C 15) •�� X �� - •��
16. Amount of Line 14 taxable at lineal rate t16� -n� X �4 5 = .Q�
1�. Amount of Line 14 at sibling rate c��� -ad X I2 - .00
18. Amount of �ine 14 taxable at col2ateral rate � C18} .Q 0 X 15 = .0 0
19, Principal Tax Due C�`��° .Qa
TAX CREDITS:
PAYMENT RECEIPT DISGOUNT C+) AMOUNT PAID
DATE NUMBER INTERESTfPEN PAZD C-�
TCITAL TAX PAYMENT .00
BALANCE C!F TAX DUE ,pp
INTEREST AND PEN. .00
TCITAL. DU E .0 0
* IF PAID AFTER DA7E INDICATED, SEE REVERSE IF fiDTAL DUE IS REFLECTED AS A CREDIT CCR�, YOU MAY BE DU
FOR CALCULATION OF ADDITIQNAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.