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CU15 &L 6 r M 3 1 NOTICE OF INHERITANCE TAX j pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
BUREAU OF I X DIV.�pIEPffq`F OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547
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INHERITANCE TAX DIVI bbNN REY-1547 EX AFP (11-14)
PO BOX 280601 ((��pp DD hh 1 i�,
HARRISBURG PA 1Td�$C0�0'1`
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DATE 07-06-2015
ESTATE OF DYARMAN ESTHER AR
DATE OF DEATH 09-27-2011
FILE NUMBER 21 11-1094
COUNTY CUMBERLAND
FREY ROBERT G ACN 101
5 S HANOVER ST APPEAL DATE: 09-04-2015
CARLISLE P A 17013-3307 (See reverse side under Objections)
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: DYARMAN ESTHER AR FILE NO. :21 11-1094 ACN: 101 DATE: 07-06-2015
TAX RETURN WAS: ( X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN NO. 01
I. Real Estate (Schedule A) Cl) .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.
S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) .00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) 3,059.00
8. Total Assets (8) 3,059.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule H) (9) 500.00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 00
11. Total Deductions (11) 500.00
12. Net Value of Tax Return (12) 2,559.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchedule J) (13) .00
14. Net Value of Estate Subject to Tax C14) 39,891.00
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) .00 X 00 = .00
16. Amount of Line 14 taxable at lineal rate (16) ;9•R91 -nn X 045 = 1,795. 10
17. Amount of Line 14 at sibling rate (17) -00 X 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Due (19)= 1,795. 10
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
01-16-2013 CDO17064 .00 1,707.90
01-26-2015 CD020162 27.96- 115. 16
06-26-2015 WRITEOFF .00 7.21
TOTAL TAX PAYMENT 1,795. 10
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. `�(�