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NOTICE OF INHERITANCE TAX � pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE D E P A R T M E N T O F R E V E N U E
BUREAU oF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION REV-1547 IX AFP CO3-13)
PO dOX 280601
WIRRISdINt6 PA 17128-0601
DATE 10-07-2013
ESTATE OF SHERIFF BETTY L
DATE OF DEATH 10-13-2012
FILE NUMHER 21 13-OOOb
COUNTY CUMBERLAND
IRWIN ROGER B ACN 101
30 POMFRET ST APPEAL DATE: 12-06-2013
C A R L I S L E P A 17 013 (See reverse side under Objections)
A�ount Re�itted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONC THIS LINE �—► RETAIN LOWER PORTION 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 �F TAX
ESTATE OF: SHERIFF BETTY LFILE N0. :21 13-0006 ACN: 101 DATE: 10-07-2013
TAX RETURN WAS: C ) ACCEPTED AS FILED C X) CHAN6ED SEE ATTACHED NOTICE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Raal Estate CSchedule A) �1� 41,000.00 NOTE: To ensure propQr
2. Stocks and Bonds CSchedule B) C2� .0 0 crQdit to your account,
.0 0 sub�it tha upp�r portion
3. Cl�soly Held Stock/Partnership Inte�est CScheduls C3 C3) of this form with your
4. Mortga�es/Notes Receivable (Schedule D) C4) •0� tax pay�nant.
5. Cash/Bank DQposits/Misc. Personal Property CSchedule E) (5) 12,8 3 6.94
6. Jointly Owned Proparty CSchedule F) t6) .0 0
7. Transfers CSchedule G) C9� 58,533.92
8. Totsl Assets (8) 112,370�_
APPROVED DEDUCTIONS AND EXEMPTIONS:
;.,,.
9. funoe�a2 Fxp�nse�/Ad�."Costs/Misc. Expenses C3chedule H) C9) � � �
10. Dabts/Mortgsge Liabilfties/Liens CSchedule I) C10) �� � � �
11. Total Doductions �T�} �.1�?.� --+ �i���•48
w �. i�
12. Not Vslua of Tax Return � �„1�-, 8$t,�8.38
13. Charitable/6overnmental Bequests; Non-elected 9113 Trusts CSchedule J) �s ���`"^ �"-+ •0 0
14. N�t Valuo of Estate Subject to Tax � ' ��C �sF�A8.38
t�' �7 '�'r� ""n
NOTE: If an assess�ent wss issued previously, Lfnes 14, 15, 16, �,+�1�an�or ,�9"?Mill
refleet fipures that include the total of all returns asse�s� to d�te. � �
ASSESSMENT Of TAX; -p "'°i f"` � �
15. �wa�tnt of Line'14 at spousal rate CiS) •� X 00 =Q � p .00
16. A�ount of Lina 14 taxable at lineal rate C16) -Q0 X 045 = .00
17. A�ount of Line 14 at siblin� rata C17) 6.012_89 X 12 = 721.55
18, Awount of Line 14 taxable at collateral rate C18) 82,585.49 X 15 ° 12,387�
19. Principal Tax Due C19�= 13,109.37
TAX CREpITS=
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE - NUMBER INTEREST/PEN PAID C-)
07-23-2013 C O1 925 .00 11,64 .1
INTEREST IS CHARGED THROUGH 10-22-2013 TOTAL TAX PAYMENT 11,648.13
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 1,461.24
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 21.65
TOTAL DUE 1,482.89
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT CCR), YOU MAY BE DUE \
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS. `�
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REV-1470�01;1� �
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-: �, C11I�S�/LVC'�I�I1a INHERITANCE TAX
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e DEPARTMENT OF REVENUE EXPLANATION
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BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Box 280601
DECEDENTS NAME FILE NUMBER
Betty Sheriff 2113-0006
REVIEWED BY ACN 1 O�
Alan Mater
ITEM
SCHEDULE Np, EXPLANATION OF CHANGES
tl B: 7 Escrow held for Inheritance tax is not an aliowable deduction against the taxable estate.
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