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NOTICE OF INHERITANCE TAX QV
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APPRAISEMENT, ALLOWANCE OR DISALLOWANCEBUREAU OF IND�V�I 1DT�YbFF10EOqf DEDUCTIONS AND ASSESSMENT OF TAX RE -1547 EX AF REVENUE
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HARRPO ISBURG6PA 170&-aOSTER O STILLS
?o19 0EC 29 RM 12 23 DATE 12-29-2014
U ESTATE OF ZIEGELMEIER KAREN A
DATE OF DEATH 05-27-2013
GLEP,�i OF FILE NUMBER 21 13-1080
ORPHANS COURT COUNTY CUMBERLAND
DOLA�(� S r RI �, K-EV.I-N P,, D ACN 101
222 S WET"'STREET tUI APPEAL DATE: 02-27-2015
PO BOX 267 (See reverse side under Objections)
ELIZABETHTOWN PA 17022-0267 Amount Remitted
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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REV-1547 EX AFP (11-14) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: ZIEGELMEIER KAREN AFILE NO. :21 13-1080 ACN: 101 DATE: 12-29-2014
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 239,775.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) 153,550.98 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) 00 submit the upper portionof this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 10,252.82
6. Jointly Owned Property (Schedule F) (6) 12,810.52
7. Transfers (Schedule G) (7) 1,084,477.96
8. Total Assets c8) 1 ,500,867.28
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 113,561.02
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 6,805.66
11. Total Deductions (11) 120,366.68
12. Net Value of Tax Return (12) 1,380,500.60
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 1,380,500.60
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) 0 0 X 00 = .00
16. Amount of Line 14 taxable at lineal rate (16) 1 -;RD -riDO-60 x 045 = 62,122.53
17. Amount of Line 14 at sibling rate (17) 00 X 12 = .00
18. Amount of Line 14 taxable at collateral rate C18) .00 X 15 = .00
19. Principal Tax Due (19)= 62,122.53
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
08-14-2014 CD019558 855.80m 62,983:42 -
TOTAL TAX PAYMENT 62,127.62
BALANCE OF TAX DUE 5.09CR
INTEREST AND PEN. .00
TOTAL DUE 5.09CR
IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT (CR), YOU MAY BE DUE `n\
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.