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NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE pe1111S�/LVa11i8
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION REV-1547 EX AFP (11-14)
PD BOX ER(EgORDED OFFICE OF
HARRISBURGURG PPA 1712A
REGISTER OF WILLS DATE 07-13-2015
ESTATE OF OLIVER JR RAYMOND F
?015 AIL 13 Pm 12 10 DATE OF DEATH 12-02-2014
FILE NUMBER 21 15-0229
CLERK OF COUNTY CUMBERLAND
CHRISTA CLERK
�[d {�r��;�,- ACN 101
845 S 0 OUI�l` APPEAL DATE: 09-11-2015
SUITE� E R L A N D C "_, S''4 (See reverse side under Objections)
HARRISBURG PA 17109 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: OLIVER JR RAYMOND FFILE NO. :21 15-0229 ACN: 101 DATE: 07-13-2015
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) •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) 2,694.00
6. Jointly Owned Property (Schedule F) (6) 37,786.98
7. Transfers (Schedule G) (7) 93,839.20
8. Total Assets (8) 134,320. 18
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 6,565.63
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 5,121.4 5
11. Total Deductions C11) 11,687.08
12. Net Value of Tax Return C12) 122,633. 10
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) 122,633. 10
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) R1 •3DS-79i X 045 = 3,658.76
17. Amount of Line 14 at sibling rate (17) .0n X 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) 41,327.35 X 15 = 6,199. 10
19. Principal Tax Due C19)= 9,857.86
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
02-27-2015 CD020298 492.89 9,364.97
TOTAL TAX PAYMENT 9,857.86
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.