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NOTICE OF INHERITANCE TAX � pennsylvania
APPRAISEMENT, AILOWANCE OR DISALLOWANCE ■ �� DEPRRTMENTOFREVENUE
BuREau oF INDIVIDUAL inxES OF DEDUCTIONS AND ASSESSMENT OF TAX ` �
INHERITRNCE TAX DIVISION REV-1547 f7( AFP (03-13)
PO BOX 280601
H/�RRISBURG PA 1712H-0601
Tti�L`i):i�;.i� :i �,�f:�' S'�'�_ QF DATE 06-24-2013
n.,,�-��,r�.,-i � `,.�1`._���
i�i ;sSJ . ��:�_:�, �'s'� ESTATE OF GIORGINI CATHERINE R
�} DATE OF DEATH 07-03-2012
i�'.!i� ��i_ 1 ��i I 1 SJ FILE NUMBER 21 12-0942
COUNTY CUMBERLAND
CHARLES E PETRIE Cv'�v yi: G��� ACN 101
3528 BRISBAN ST �i � r�,;�,�•� APPEAL DATE: 08-23-2013
HARRISBURG P � �� j E(�1 "'�� ' (SeereversesideunderObjections)
� �������'" ��'., P`� p�ount Re�itted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
. REGISTER OF WILLS
1 COURTHOUSE SQUARE
� CARLISLE PA 17013
CUT ALON6 THIS LINE 1 _.RffTAIN_LOWER_PORTION FOR YOUR RECORDS F
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REV-1547 EX AFP CO2-13) NOTICE GF INHERITANCE TAX APPRAISEMENL ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: 6IORGINI CpTHERINE RFILE N0. :21 12-0942 ACN: 101 DATE: 06-24-2013
TAX RETURN'�, WAS: ( JO ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED�''�, ON: ORIGINAL RETURN
1. Real Estate (Schedula A) (1) .00 NOTE: 7o ensuro oroper
2. SYOeks antl Bontls CSChetlula B7 � (z) .00 <retlit to your account,
.00 submit the uoaor portion
3. Clasely Held Stock/PartnershlP !IntaresY CSehetlule C) (3) of this form with your
4. Mortgapes/NOtes Recelvable (SCFedule D7 �4) .00 t�x paymeni.
5. Ush/Hank Deposits/Misc. Persodal Property CSChedule E7 (57 1,497.66
6. Jointly Ownad Proparty (SChaduLe F7 �6) .00
7. Trensfers CSChetlule G) ��� .00
e. Total Assats (e) 1 .497.66
APPROVED DEDUCTIONS AND EXEMPTI'ONS:
9. Funeral Expensas/Atlm. Costs/Misc. Exvo�ses CSehedule H) �g� 6.332.34
10. Debks/Mortpage LSabilitles/LiaOS (Sehsdule D C10) .00
11. Total Detluctlons . �lll 6�332.34
12. Net Value of 7ax Return � �yZ� 4.834.68-
13. Charltabla/GOVernmental HaquesRS; Non-alactetl 9113 Trusts (S<hedule J) (13) •��
14. Net Value of Eskate Subjeet to' Tax (14) 4.834.68-
NOTE: If an assessnent was is'sued previously, Lines 14, 15, 16. 17, 18 and/or 19 w111
reflect fipures that include the total of all returns assessed to date.
ASSESSMENT OF TAX: �
15. Amount of Line 14 at spousal rate (15) •00 X �� •00
16. Amount of Line 14 kaxable at l�ineal rate. (16) -�� x 045 = .00
17. Amount of Line 14 at sibl3ng r�ate (177 .0� X 12 .00
16. Amount of Line 14 Yaxable at ciollataral rate (18) .00 X 15 = .00
19. Principal Tax Due C19�' .00
TAX CREDITS:
PAVMENT RELEIPT DISCOUNT (+7 pMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
', TOTAL TAX PAYMENT .00
�BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00 A
� IF PAID AFTER DATE INDICATED, SEH R�VERSE IF TOTAL UUE IS REFLECTED AS A CREDIT CCR), YOU MAY BE DUE `�"
FOR CALCULATION OF ADDITIONAL INTER ST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS. �N
v-
RESERVATtON: Estates of decedeMS dying on or before Dec. 7 2,1982-iF any future iMerast In the estafa is transferred�in posses�ion or
enjoymeM to colWxeral percetici�ries of the decadent aCter the explrapan of any estate for Nfe or years;tlre Commqnweakh
hereby expreesy reeerves the r�ght to appraisa and asaess hanafer inheritsr�ce taxes at the lawful collateral rate on any such
fu?ure iMerest.
PAYMENT: Detach ihe top portion of this rnrtice and submit with your paymenk W the Regiaker of Wille Indicated on fhe front of the notice.
Make check or money oMer payable to:REGISTER pF WiLL,AGENT.
REFUND(GRj: A refurui af a tax credit not request�on the tas�reNrn may be requesteti by cortipbti�.an A�:�or Aek,vid of
Pennsylvania lnheritance and E�Ta7c(REV-7373}. A�plications are avaitsple from the deparimanYs weti site at
www.revemre:ctete,raa.us.any f�pyi�er of Wills or Revenue f3lsbiCt Offlce,or from the dB{�artriMHfs 24-trour forms ordering
service:1-BOD362-2050;services for taxpayars with sppcial Madnq and�or spwaking needt:t-800-447-3020(TT only).
Please albw 4-6 weeks from the data a relund was graMed ro arrive.
OBJECTI{7MS: Any party in irrterest nof sati5fied witli fhe appraiseme�t.aiiowanCe or disallpwance o#deduc.#iori5,or.86sesament of Wu
(inclucRi�p discount pr interesn as sFrown on ihis notice may objact within 60 days of the dnte of�ecefpt pf this nptice by:
A) Fifing an apQeal ontine at on or 6efore the appeal deke�kfe�5ed on the front of tlus nofice,
Or SBrdir�a wriUer��tect tb:PA � . .. � af R9GeM�e,8oa�d of Appbais�PO�7X 2$126t,Hatris�rg PA 17128-1021;
B) Hav4�p the matter dekrtnined at au�t attM account of the person�i reptesbAtetive;or
C) C)Appealing ro kh�Orphans'Court.
ADMlNISFRATNE Errors diacovered qn this asseesment should be addreseed in wdtin�to:PA Depariment o#Reverwe,6uteau of irntividuat
GORRECTIONS: Ta�s,ATTN:Post� �rt Review U�it,PO BOX 280641,Hartisbutg PA,t7728-7021.Ptume(Tt7}767-fi505. See p�e 4
inshuctions for Iniurttance Taz Ratum ior a Residsnt Deoederrt{REV-1501)fw an expianatfon of administratively corceclabie
errore.
DISCQUNT: If any f�dae is paid within thrae calendar rrwMhs attsr the decedenta death,a five percent discourrt oi the taz parcf is aMowable.
INTEREST: interesi is charged beginning wkh first tlay of t�6nquenCy,or nine rrronths and one date from date oi death,to the date of
payment. Annual irHqrest rates are availek/le on Fortn FIEV-1611,available at �� ,or upon rquest by
cailing 1•988-728•2937. ..
Ir�teresf is cakuiated as foliows:
INTERE57=BALANCE OF TAX UNPAID X NUMBER OF DAYS pELIN4UENT X DAILY tNTEREST FACTOR
Any Nptice issued attar Tha ia�c becomes c�iinc�snt wiii reflect an interest cak�ulation to 15 days beyond the date af the
assessmerN. If p�yment is made after#he imerest cakulstion date strov+on dae Notice,attdi6onaf interesi rraist be caiculated.