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BUREAU OF INIIIVI....~ r~~tn
INHERITANCE TAX DIVISIQN.-'~'~'-'; ,LA ..L/
PO lOX 2ID601-::;[' ,- . -
HARRISBURG PA 17128-06Dl
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLDIIANCE DR OISALLOIIANCE
OF DEIJIICTIONS AND ASSESSIIENT OF TAX
20u,] 9
;::
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
04-25-2005
PLIESKATT
06-13-2004
21 05-0163
CUMBERLAND
101
AMount _i ttood
03
CLEPK
SUSAN 'hQfjj)h'
STOTT tSTOTT
157 S HANOVER ST
CARLISLE
*'
REV-15~7 EX AFP (03-05)
ARTHUR
C
PA 17013
I.
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS'" '
1I1r-"1!rC,.'!t.m.TW.r-1I!l.'III'Im.W.!RlWIB.m.lWllmMMf~.~t'fIVIB.Mt'....~......... ...
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ARTHUR C FILE NO. 21 05-0163 ACN 101
ESTATE OF PLIESKATT
TAX RETURN liAS: I X) ACCEPTED AS FILED
I ) CHAIlllED
I. an a....saent was i..ued praviDuslY. line. 14. 15 end/Dr 16. 17. 18 :and 19 will
r"lec1: .igur.. that inclUd. the total ~ ALL return. a..euR tD date.,
ASSESSMENT OF TAX:
1.5. AlIOUnt of Line 14 at _V"ISa! rat. (IS)
16. Aoount of Lino l' toxobl. .t Linool/Cl.ss A rot. (16)
17. Aoount of Uno l' .i Sibling roto 117)
18. Aoount of Lino l' taxoblo .t Coll.t.rol/Cl.ss 8 r.i. (18)
19. Princi...l T.K Due
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. _1 est.i. ISchedul. Al
2. Siocks _ BGnds ISchedul. 8)
3. Closely Held Stock/Pertnorship Int.rost ISchedul. C)
,. Hortgeges/Not.s ....ivebl. ISchedul. D)
S. Cesh/B-* Oeposits/llisc. P.r_l Pr_riy ISC.......l. E)
6. Jointly Owned Property ISchedul. F)
7. T.....af.r. ISchedul. 8)
a. Total As_ts
11)
(2)
(3)
I"
IS)
(6)
In
.00
.00
.00
.00
2,851.78
883.82
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. F.....-..1 EKpenses/_. Costs/llisc. E""""se. ISchedul. H)
10. Debts/Hort_ Uobiliti.S/Uens IScheduIo I)
11. Totol Deduction.
12. Net V.lus of T_ R.turn
13. Cheriioble/80....-i.l ~sts; Non-.lected 9113 Trusts
1'. Net Velus of E.t.t. Subject to T_
(9)
IlDl
1,034.46
.00
Ill)
(12)
(13)
11"
I~. .I)
NOTE:
.00 X
2.701.14 X
.00 X
.00 X
....ER
CD004964
INTEREST/PEN PAID (-)
.00
~PAID
121. 55
DATE
02-1 -2005
~
TOTAL TAX CREDIT
BALANCE OF TAX DUE
IMTEREST AND PEN.
TOTAL DUE
DATE '04-25-2005
I
1
i
NOTE; Tii' :l.nsur. proper
credit 0 >>our ~ount,
subsii upper poriion
of ~~~1!~1"II with your
t__t.
,
3,735.60
1.0344ft
2,701.14
.00
Z.701.14
00 =
045 =
12 =
15 =
.00
121.55
.00
.00
121.55
(19)=
121.55
.00
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FDR CALCULATION OF ADDITIONAL INTEREST.
I IF TOTAL DUE IS LESS TIIAH .1, NO PAYIIENT IS "EllUIRED.
IF TOTAL DUE IS REFLECTED AS A '"CREDIT"" ICIl, YDU KAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)