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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
~~H~~~T~=~~oIAX DIVISION ~~F('(L)'YT) :-\~Cf:!= [O,t DEDUCTIONS AND ASSESSMENT OF TAX
HARRISBURG PA 171Z8-0601 1 1- j ._1 L I. ..' -" . ,-, '-..
11-14-2005
MIKOLAY
04-29-2005
21 05-0434
CUMBERLAND
101
APPEAL DATE: 01-13-2006
( 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
9~!_~~9~~_!~!~_~!~~______~___~~!~!~_~Q~~~_~Q~!!Q~_EQ~-!Q~~-~~~Q~~~--~--------------------
REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
MICHAEL R FILE NO. 21 05-0434 ACN 101
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
2005 NOV 18 AHII: 36
CLERK CF
HAROLD S IRW~R~~AN'S COURT
IRWIN LAW Of!fl~cl i' '-"1 p"L:
64 S PITT st'''''-'' ...., .
CARLISLE PA 17013
ESTATE OF
MIKOLAY
REV-1547 EX AFP (06-05)
MICHAEL
R
TAX RETURN WAS: (X) ACCEPTED AS FILED
DATE 11-14-2005
) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
(1)
(2)
(3)
(4)
(5)
(6)
(7)
.00
2.411.80
.00
.00
75.479.15
.00
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 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)
16. Amount of Line 14 taxable at Lineal/Class A rate (16)
17. Amount of Line 14 at Sibling rate (17)
18. Amount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
TAX CREDITS:
NOTE:
(9)
(10)
14,339.50
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
77,890.95
15.651 89
62,239.06
.00
62,239.06
00 =
045 =
12 =
15 =
.00
560.15
.00
7,468.69
8,028.84
1.312.39
(11)
(12)
(13)
(14)
.00 X
12,447.81 X
.00 X
49,791.25 X
(19)=
,,~-~.. l+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
09-06-2005 CD005770 .00 8,028.84
TOTAL TAX CREDIT 8,028.84
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IE IF PAID AFTER DATE INDICATED SEE REVERSE ( IF TOTAL DUE IS LESS THAN $1 o PAYME T R UI D
,
FOR CALCULATION OF ADDITIONAL INTEREST.
, N N IS EQ RE .
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)