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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
('\(\['\1(:1\ ~fRSi Gf. INHERITANCE TAX
R[\j'JlP'~~S~'I:lE",T. .... ~I..LOWANCE OR DISALLOWANCE
c:C ;':'~Ofr 9Etn1cnONS AND ASSESSMENT OF TAX
I ___ ..
DATE 11-21-2005
ESTATE OF CRIBBS MYRTLE L
DATE OF DEATH 06-11-2005
FILE NUMBER 21 05-0578
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 01-20-2006
( See reverse side under Objections)
Amount Remittedl 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 +-
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REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF CRIBBS MYRTLE L FILE NO. 21 05-0578 ACN 101 DATE 11-21-2005
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
n" 28 pit 3: 06
1Uu~ Nt.; ~ '
C,-.r',J
,\"',\r "
LISA MARIE COYNE
COYNE & COYNE
3901 MARKET ST
CAMP HILL
PA 17011
REV-1547 EX AFP (06-05)
T AX RETURN WAS: (X) ACCEPTED AS F I LED
) CHANGED
Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
Net Value of Estate Subject to Tax
If an assess.ent was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of !bh returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
IS. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
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)
S.
Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11.
12.
13.
14.
Total Deductions
Net Value of Tax Return
NOTE:
(ll
(2)
(3)
(4)
(5)
(6)
0)
.00
2.866.05
.00
.00
12.624.96
16,744.47
.00
(S)
NOTE: To insure proper
credit to your account.
submit the upper portion
of this form with your
tax payment.
32,235.48
(9)
<l0)
12,822.60
2.551.69
ell)
(12)
(13)
(14)
lli.374.~9
16,861.19
.00
16,861.19
<l5)
. DO X
16,861.19 X
. DO X
. DO X
.00
758.75
.00
.00
758.75
DO
045 =
12 =
15 =
<l6)
<l7)
( 18)
<l9)=
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
09-09-2005 CD005786 37.94 720.81
TOTAL TAX CREDIT 758.75
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1. NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR). YOU MAY BE DU9\ \\\~
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) ~~~