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Home My WebLink About01-12-15 NOTICE OF INHERITANCE TAX "' Pennsylvania APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX -___ INHERITANCE SAX DIVISION REV-1547 EX AFP (11-14) PO BOX 280601 HARRISBURG PA 17128-0601 DATE 01-12-2015 ESTATE OF HESS KENNETH L DATE OF DEATH 12-16-2013 FILE NUMBER 21 14-0721 COUNTY CUMBERLAND BOGAR JAMES D ACN 101 1 W MAIN ST APPEAL DATE: 03-13-2015 SHIREMANSTOWN PA 17011-6327 (See reverse side under©bjecdons) Amount Remitted- -� MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE -f- RETAIN LOWER PORTION FOR YOUR RECORDS 4 - - --------------- REV--1-547--EX--A-F-P-0-1-1---4---NO-T-I-CE--O--F---N-H-ER--T-ANC-E--TAX--APP-R-A-IS-E-M-ENT-,--ALL-O-W-ANC-E-OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF: HESS KENNETH LFILE NO. :21 14-0721 ACN: 101 DATE: 01-12-2015 TAX RETURN WAS: ( X) ACCEPTED AS FILED ( ) CHANGED APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) 52,374.00 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. 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) '00 6. Jointly Owned Property (Schedule F) (6) .00 7. Transfers (Schedule G) (7) .00 8. Total Assets t8) 52,374.00 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 0 0 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00 11. Total Deductions (11) 00 12. Net Value of Tax Return (12) 52,374'00 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0 14. Net Value of Estate Subject to Tax (14) _ 52,374.00 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) 52,374.00 X 00 = .00 16. Amount of Line 14 taxable at lineal rate (16) -00 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 b15 = X00 19. Principal Tax Due C (6)= rn 0700 TAX CREDITS: Co PAYMENT RECEIPT DISCOUNT C+) T"f"I DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID N CPl r- rn TOTAL TAX PAYME!�y BALANCE OF TAX DUE .00 INTEREST AND PEN. .DO 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.