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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
BUREAU OF INDIVIDUALfAXeS'
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
1l-07-2005
THOMPSON
01-28-2005
21 05-0182
CUMBERLAND
101
APPEAL DATE: 01-06-2006
( See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
~Y!_~~9~~_!~~~-~~~~------~---~~!~!~_~9~~~_~9~!!9~_E9~_Y9~~_~~~9~~~__~____________________
REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ALBERT T FILE NO. 21 05-0182 ACN 101
''"-'
C ROY WEIDNER JR
JOHNSON ETAL
301 MARKET ST
LEMOYNE
PA 17043
ESTATE OF
THOMPSON
REV-1547 EX AFP (06-05)
ALBERT
T
TAX RETURN WAS: (X J ACCEPTED AS FILED
DATE 1l-07-2005
J CHANGED
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule HJ
10. Debts/Mortgage Liabilities/Liens (Schedule IJ
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule JJ
14. Net Value of Estate Subject to Tax
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule AJ
2. Stocks and Bonds (Schedule BJ
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule DJ
5. Cash/Bank Deposits/Misc. Personal Property (Schedule EJ
6. Jointly Owned Property (Schedule FJ
7. Transfers (Schedule GJ
8. Total Assets
(9J
1I0J
NOTE:
lIJ
(2J
(3J
(4)
(5J
(6J
(7J
358,900.00
2.250.36
.00
.00
31.561.55
.00
32.623.36
(8J
NOTE: To insure proper
credit to your account,
submit the upper portion
of this formtwith your
tax payment.
425,335.27
99.391 41
325,943.86
.00
325,943.86
I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
re~lect ~igures that include the total o~ ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate (15J
16. Amount of Line 14 taxable at Lineal/Class A rate (16J
17. Amount of Line 14 at Sibling rate (17J
18. Amount of Line 14 taxable at Collateral/Class B rate (18J
19. Principal Tax Due
TAX CREDITS:
n~~~~. , {+J AMOUNT PAID
DATE NUI1BER INTEREST/PEN PAID (-J
04-22-2005 "- CD005240 500.00 9,500.00
08-22-2005 ......... CD005718 .00 4,667.47
TOTAL TAX CREDIT 14,667.47
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
· IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
15,217.71
84.173.70
(I1J
1I2J
1I3J
1I4J
.00
325,943.86
.00
.00
X 00 =
X 045 =
X 12 =
X 15 =
.00
14,667.47
.00
.00
14,667.47
( IF TOTAL DUE IS LESS THAN $1, NO PAYI1ENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A '"CREDIT'" (CRJ, YOU I1AY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORI1 FOR INSTRUCTIONS.J
RJ(
1I9)=