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HARRISBURG PA17128-0601 12
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nis DATE 03-30-2015
�`; i Off. ESTATE OF STARASINIC CAROL J
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DATE OF DEATH 04-08-2014
ORPHANS' ��� �� FILE NUMBER 21 14-0369
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STAI�l7H ESQ W S COUNTY CUMBERLAND
ACN 101
STE 105 APPEAL DATE: 05-29-2015
20 E R F O R D RD (See reverse side under Objections)
LEMOYNE PA 17043-1170 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: STARASINIC CAROL JFILE NO. :21 14-0369 ACN: 101 DATE: 03-30-2015
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) Cl) 250,000.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 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) 5,04 0.30
6. Jointly Owned Property (Schedule F) (6) 9,038.30
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 264,078.60
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 13,4 54.4 2
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 26,9 70.34
11. Total Deductions (11) 40,424.76
12. Net Value of Tax Return (12) 223,653.84
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 223,654.84
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 C15) .00 X 00 = .00
16. Amount of Line 14 taxable at lineal rate (16) 222•Rri4.R4 X 045 = 10,028.47
17. Amount of Line 14 at sibling rate (17) Rnn.nn X 12 = 96.00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Due C19)= 10,124.47
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
11-18-2014 CDO19940 .00 10,124.47
TOTAL TAX PAYMENT 10,124.47
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.