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APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXESffbNOTICE OF INHERITANCE TAX i-i—I
INHERITANCE TAX OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 E)( AFP (08-13)
PO BOX 280601 ff '�DED OFFICE OF
HARRISBURG PA "TrTST-ER OF ','!LLS
DATE 11-10-2014
L7 G 19 N1 0 U 10 PM 12 54 ESTATE OF WYRICK JOYCE E
DATE OF DEATH 11-18-2013
C L E FILE NUMBER 21 13-1291
•
COUNTY CUMBERLAND
ZULLIN"HANS'iO'E`L'J'k* 1_ R ACN 101
STE WMBERLAND APPEAL DATE: 01-09-2015
14 N MAIN ST (See reverse side under Objections)
CHAMBERSBURG PA 17201-1814 Amount Remittedl
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
I COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR-YOUR-RECORDS- 4--
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DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: WYRICK JOYCE EFILE NO. :21 13-1291 ACN: 101 DATE: 11-10-2014
TAX RETURN WAS. ( X) ACCEPTED AS FILED CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 112,452.65 NOTE: To ensure proper
2. Stocks and Bonds (Schedule 8) C2) 96,901 .70 credit to your account,
00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .
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) 83,152.98
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) 317,443.04
B. Total Assets (8) 609,950.37
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 25,517.55
10. Debts/Mortgage Liabilities/Liens (Schedule 1) (10) 4,125.71
11. Total Deductions (11) 29,643.26
12. Net Value of Tax Return (12) 580,307.11
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 580,307.11
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) 9;Rn.An7_ 11 x 045 = 26,113.82
17. Amount of Line 14 at sibling rate (17) -01), x 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) .00 x 15 = .00
19. Principal Tax Due (19)= 26,113.82
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
02-14-2014 CDO18773 1,147.50 21,802.50
07-07-2014 CDO19396 .00 3,163.82
TOTAL TAX PAYMENT 26,113.82
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.