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.NOTI,CE, 0 INHERITANCE TAX pennsylvania
BUREAU OF INDIVIDUAL TAXES APPRAI'SEM£NT,-,ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ',.•ti - .OF DEDUCTIONS AND ASSESSMENT OF TAX
PO Sox 288602 ""•v �,;,; t �� C ^ � REV-1547 EX AFP (03-13)
HARRISBURG PA 17128-0601
DATE 10-14-2013
ESTATE OF ZEIGER DALE L
CU:.;� �'t .Y`- DATE OF DEATH 03-20-2012
FILE NUMBER 21 12-0543
COYNE ESQ LISA M COUNTY CUMBERLAND
ACN
3901 MARKET ST APPEAL DATE: 12-13-2013
CAMP HILL PA 17011-4227 (See reverse side under Objections)
Amount Remitted --�
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
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REV-1547 EX AFP IO2-1_3�-NOTICE OF INHERITANCE TAX APPRAZSEMENT: ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: ZEIGER DALE LFILE NO. :21 12-0543 ACN: 101 DATE: 10-14-2013
TAX RETURN WAS: (X) ACCEPTED AS FILED ( } CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) •00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) {3} .00 of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 632.83
6. Jointly Owned Property (Schedule F) {6} .00
7. Transfers (Schedule G) (7) 32,370.20
8. Total Assets (a) 33,003.03
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm, Costs/Misc. Expenses (Schedule H) (9) 22,540.83
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10)- 13,658.21
11. Total Deductions (11) 36,199.04
12. Net Value of Tax Return f12) 3,196.01-
13. Charitable/Governmental Bequests; Non-elected 911$ Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (L4) 3,196. 01-
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 OF TAX:
15. Amount of Line 14 at spousal rate (15) .00 X 00 = .00
16. Amount of Line 14 taxable at lineal rate (16) OD X 045 = .00
17. Amount of Line 14 at sibling rate (17). - 00 X 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Due (19}= .00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-]
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
+ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS. �„(1,.•