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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
Orc.ClODr" OFr'''r NOTICE OF INHERITANCE TAX
BUREAU OF INDIVlDUAll\J~[U r-il,t CF APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
~~~~~T~~o1AX DIVISIONr.:r '; ','i'; i ,~_\ Of DEDUCTIONS AND ASSESSMENT OF TAX
HARRISBURG PA 17128-0601
08-29-2005
KETNER
01-22-2005
21 05-0369
CUMBERLAND
101
APPEAL DATE: 10-28-2005
( See reverse side under Objections)
Allount Rem:i.ttedl 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 _
REV:is47-EX-AFP-io3:0Sl-NOyiCE-OF-iNHERiYANCE-YAX-APPRAiSEMENY:-ALLOWANCi-OR---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
BRIGHT W FILE NO. 21 05-0369 ACN 101
ZDD5
DATE
ESTATE OF
DATE OF DEATH
FILE NUIIBER
COUNTY
ACN
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J ..)
Pi; ',: 22
(':
C~-r-::':_'
SHEILA f,: :SMALL
837 MANDY LN
CAMP HILL
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PA 17011
ESTATE OF
KETNER
*'
REY-IS47 EX AFP (U6-DS)
BRIGHT
W
TAX RETURN WAS: I X I ACCEPTED AS FILED
DATE 08-29-2005
I CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Est.t. (Schedule A)
2. stocks and Bonds ISch.dule B)
3. Closely Held Stock/Partnership Interest (Schedule Cl
4. Mortgages/Notes Receivable (Schedule DJ
S. Cash/Bank Deposits/Hisc. Personal Property (Schedule E)
6. JOintly Owned Property ISchedule FI
7. Transfers (Schedule Q)
8. Total Assets
(1)
121
(31
(41
llil
161
171
.00
88.020.00
.00
.00
304.874.00
275.272.00
.00
181
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule Il
11. Total Deductions
12. Net Value of Tax R.turn
13. Charitable/Governaental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Est.t. Subiect to Tax
I~ an assessment was :i.ssued prev:i.ously, l:i.nes 14, 15 and/Qr 16, 17, 18 and
re~lect ~igures that include 'the 'total o~ ALL returns assessed to date.
ASSESSMENT OF TAX:
15. AltOunt of Lir\81 14 at Spousal rat. (15)
16. Amount of Line 14 t.xable at Lineal/Class A rat. (16)
17. Aaount of Line 14 .t Sibling rat. (17)
18. Anount of Line 14 taxable at Collateral/Class B rete (18)
19. Principal Tax Due
(9)
1101
NOTE:
7,255.00
98 00
35,508.00 X
625,305.00 X
.00 X
.00 X
(Ill
1121
1131
1141
00 =
045 =
12 =
15 =
1191=
NOTE: To insure proper
credit to your account,
sub.it the upper portion
of this form with your
tax payment.
668,166.00
7.3~3 00
660,813.00
.00
660,813.00
19 will
.00
28,139.00
.00
.00
28,139.00
TAX CREDITS:
ft... (U AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-I
04-19-2005 CD005230 1,406.95 26,132.00
TOTAL TAX CREDIT 28,138.95
BALANCE OF TAX DUE .05
INTEREST AND PEN. .00
TOTAL DUE .05
~.
IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDlr' ICRI, YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.I