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NOTIGE OF INHERZTANCE TAX � pennsy�van�a
APPRAISEMEWT, ALLOWANCE DR DISALLOWANCE DEPARTMENTOFREVENUE
BUREAU oF INDIVIDUAL TaxES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIYiSIQN REV-1547 EX AFP {Q3-23}
PO BOX 2$0601
HARRISBURG PA 17128-0601
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�'�EG�JS�; f;';� Q� ,f�'(��r� ESTATE OF WARRICK II CARL L
DATE OF DEATH 10-17-2009
���t� ��'V � ( ( i + 1 "�� CQUNTYUMBER 21 09-1054
CUMBERLAND
ROBERT G FREY ������ ���. A�N l0I
5 S HANOVER ST R APPEAL DATE: 08-03-201.3
CAR�ISLE PA��Y����O�����' (Seereversesideur�derQbjections}
CUMBERLAND CO., PA /►mou�t Remitted� l
MAKE CHECK PAYAB�E AND REMIT PAYMEFiT T0:
REGiSTER OF WILLS
1 CQURTHQUSE SQUARE
CAiZLIS�E PA 17013
CUT A�ONG THIS LINE -�1� RETAIN �OWER PQRTION FOR YOUR RECORDS �
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REV-1547 EX AFP CO2-13) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: WARRICK II GARL L�ILE N0. :21 09-1054 ACN: I01 DATE: 06-d4-2013
TAX RETURN WAS: C X} ACCEPTED AS FILED C ? CHANGED
APPRAISED VALUE DF RETURN BASED ON: SUPPLEMENTAL RETURN N0. dl
1. Real Estate (Schedule A} �1? 9$,500.OQ NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) t2) .00 credit to yaur account,
.a0 submit the upper portian
3. Closely Held Stock/Partnership Interest CSchedule C) C3) of this form with your
4. MartgageslNotes Receivable tSchedule D) {y� �00 tax pav�ent,
5, Cash/Bank Deposits/Misc. Personal Property CSchedule E7 C57 �+02.00
&. JaintlY Owned Property C3chedule F) {6� .00
7. Trensfers CSchedule G) C7) 'd�
8. Sotai assets cS� 9$.902,00
APPROYED DEDUCTIONS AND EXEMPTIONS:
4. Funerai ExpenseslAdm. Costs/Misc. Expenses tSchedule H} {9} 9,I77.OQ
ip. DebtslMortgage �iabilities/Liens CSchedule I) t1Q) 55�221 .00
I2. Total Deductians {li� 64�398.00
12. Net Va2ue af 7ax Return C12� 34,�04.�a
13. Charitable/6overnmental Bequests; Non-elected 9113 Trusts CSchedule J) C13? •dd
14. Net Value af Estate Subject ta Tax {14� 15,18$.70-
NQTE: If an assessment was issued previously, Lines 14, 15, 16, 17, 18 and/or 19 will
reflect figures #hat include the tatal of alI returns assessed to date.
ASSESSMENT OF TAX:
15. AmoUnt of Line 14 at sPOUSal rate C15} .00 X QQ = .0 0
16. Amount of Line 14 taxable at lineal rate t16) -�� x 04 5 = .00
17. Amount of Line 14 at siblin9 rate C17) 34.504.00 X 12 - 4,140.4$
1$. Amount of Cine 14 taxable at ca2lateral rate C1$) .00 X 15 = .00
19, Principal Tax Due �lg�° 4,140.4$
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
02-24-20i3 CD017242 342.92- 5,722.54
TOTAL TAX PAYMENT 5,379.62
BALANCE OF TAX DUE 1,239,14GR
INTEREST AND PEIV. .00
TOTAL DUE 1,239.14C
* IF PAID AFTER DATE INDICA7ED, SEE REVERSE IF TQTAL DUE IS REFLECTED AS A CREDIT CCR), YQU MAY BE DUE
FOR CALCU�ATIDN OP ADDITIONAL IN7EREST. A REFUND. SEE REVERSE SIDE F4R INSTRUCTIONS,