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COMMONWEALTH OF PENNSYL.VANIA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 1 7 1 28-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 017683
THOMAS R MARK
101 S MARKET STREET
MECHANICSBURG, PA 17055-3851
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
------- fold
'____""_ __""__
101 � $9.20
ESTATE INFORMATION: Ssrv: I
FILE NUMBER: 21 1 O-1 069 I
�ECE�E►vr rvannE: VILLARONGA DANELLE D �
DATE OF PAYMENT: 05/30/2013 I
POSTMARK DATE: 05/30/2013 I
COU►vTY: CUMBERLAND �
DATE OF DEATH: 10/14/2010 I
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TOTAL AMOUNT PAID: $9,20
REMARKS:
CHECK# 4132
INITIALS: DMB
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
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NOTICE OF INHERITANCE TAX �� � � pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE k ; DEPARTMENTOFREVENUE
BUREAU oF INDIVIDUAL raxES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION - REV-1547 DC AFP (D3-13>
PO BOX 280601
HARRISBURG PA 17128-0601
����0`� �:- •- �� DATE 05-13-2�13
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�. ESTATE OF VILLARDNGA DANELLE D
�'��''� ` ' " �p °`� DATE OF DEATH 10-14-2010
i.t)iJ �I�� JU sli 1 lu C5 COUNTYUMBER CUMBERLAND
R MARK THOMAS ESQUIRE ACN 101
101 S MARKET ST������� �.; .: APPEAL DATE: 07-12-2013
MECHANICSBUf�`�Q��,1�7q;��=��328 (SeereversesideunderObjections)
CUM��R���`�i,% '�;,�.� .�,,�s, Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE � RETAIN LOWER PORTION FOR YOUR RECdRDS �
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REV-1547 EX AFP CO2-13� NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: VILLARON6A DANELLE DFILE NU. :21 10-1069 ACN: 101 DATE: 05-13-a013
TAX RETURN WAS: C)O ACCEPTED AS FILED O CHANGED
APPRAISED VA�UE OF RETURN HASED ON: ORI6INAt RETURN
1. Real Estate CSchedule A) �1� 105,000.00 NOTE: 7o ensure proper
2. Stocks and Bonds CSchedule B) �Z� ,00 credit to your account,
.00 submit the upper portior
3. Closely Held Stock/Partnership Interest CSchedule C) (3) of this form with your
4. Mortgages/Notes Receivable CSchedule D) (4) •�� tax payment.
5. Cash/Bank Deposits/Misc. Personal Property CSchedule E) (5) 7,364.76
6. Jcint2y Dwned Property CSchedule F) �6� 35:535.92
7. Transfers CSchedule 6) ��� .0 0
8. Total Assets CS) 147.900.6'B
APPROYED QEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm_ Costs/Misc. Expenses fSchedule H� �9� 48,44 3.07
10. Debts/Mortgage Liabilities/Liens CSchedule I? C10) 57,038.48
11. Total Deductions C11� 105,482.Q�
12. Net Value of Tax Return C12� 42,418.0
13. Charitable/6overnmental Bequests; Non-elected 9113 Trusts (Schedule J) C13� .0'0
14. Net Value of Estate Sub�ect to Tax �lq� 4 2,418.6'�
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 0� TAX:
15. Amount of Line 14 at spousal rate C15) .00 X 0 0 - .0 D
16. Amount of Line 14 taxable at lineal rate C16) 49.41 R_63 X 045 = 1,908.8�+'
17. Amount of Line 14 at sibling rate C17) .00 X j2 = .�(j',
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = ,Qp,
19. Principal Tax Due �19�= 1,908.8�i'
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
01-11-2011 CD013888 52.63 1,000.00
03-19-2Q13 CD017342 33.91- 890. 12
BALANCE OF UNPAID INTEREST/PENALTY AS OF 03-20-2013 TOTAL TAX PAYMENT 1,908.84 y�'
BALANCE OF TAX DUE . 00
INTEREST AND PEN. 9.20
TOTAL DUE � 9.20 � )
__
* IF pAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTE� AS A CREDIT CCR�, YOU MAY $F DUE:i
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.