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NOTICE OF INHERITANCE TAX QnD -1 pennsyLvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE � DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX -----( REV-1547 EX AFP (11-14)
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-06REC08 ST
EDR OO-FRFGITEF WILLS DATE 12-22-2014
ESTATE OF WILSON HELEN V
DATE OF DEATH 12-19-2012
N14 ON 19 FILE NUMBER 21 12-1335
COUNTY CUMBERLAND
TILEY CLEMIAEN D ACN 101
5 S HANMR?HANS' COURT APPEAL DATE: 02-20-2015
CARL ISbbM BERLhJ.1,ACf'7O f3"3307 (See reverse side under Objections)
Amount Remittedl
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS +-
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DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: WILSON HELEN VFILE NO. :21 12-1335 ACN: 101 DATE: 12-22-2014
TAX RETURN WAS: ( X) ACCEPTED AS FILED CHANGED
APPRAISED VALUE OF RETURN BASED ON- SUPPLEMENTAL RETURN NO. 01
1. Real Estate (Schedule A) (1) .00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 2,216.05
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (a) 2,216,05
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 15.00
10. Debts/Mortgage Liabilities/Liens (Schedule 1) (10) .0 0
11. Total Deductions (11) 15.00
12. Net Value of Tax Return (12) 2,201.05
13. Charitable/Governmental Bequests; Non-elected 1 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 430,367.05
NOTE: If an assessment was issued previously, Lines 14s 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) 41,0-;A7-n;; X 045 = 19,366.52
17. Amount of Line 14 at sibling rate (17) -nn x 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Due (19)= 19,366.52
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
03-19-2013 CDO17344 900.00 17,100.00
12-13-2013 CDO18523 .00 1,276.33
08-22-2014 CDO19579 11.38- 101 .78
TOTAL TAX PAYMENT 19,366.73
BALANCE OF TAX DUE .21CR
INTEREST AND PEN. .00
TOTAL DUE .21CR
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.