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COMMONWEALTH OF PENNSYLVANIA
~)f~TMENT OF REVENUE
....rr\p-.r:D OFt~~I~E OF INHERITANCE TAX
t\t,).) ,;~PR!'tsg~EN1', ALLOWANCE OR DISALLOWANCE
':/' ., '-OF'DEDUcTIONS AND ASSESSMENT OF TAX
DATE 11-21-2005
ESTATE OF DELANEY JAMES H
DATE OF DEATH 06-16-2005
FILE NUMBER 21 05- 0599
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 01-20-2006
( See reverse side under Objections)
Amount Re.ittedl 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 DELANEY JAMES H FILE NO. 21 05-0599 ACN 101 DATE 11-21-2005
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2B0601
HARRISBURG PA 17128-0601
\\ ~: Go
n,,,-l'\'\\i 28 PII ..,
1\)\1J \','-' .
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
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held Stock/Partnership Interest (Schedule C) (3)
4. Mortgages/Notes Receivable (Schedule D) (4)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5)
6. Jointly Owned Property (Schedule F) (6)
7. Transfers (Schedule G) (7)
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
8.
Total Assets
229,900.00
.00
.00
.00
122.018.00
101,759.24
10,174.52
(8)
(9)
ClO)
47,094.55
NOTE: To insure proper
credit to your account.
submit the upper portion
of this form with your
tax payment.
463,851.76
">1. 338. 9~
412,512.84
.00
412,512.84
NOTE: 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
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
4.244.37
Cl1)
Cl2)
Cl3)
Cl4)
Cl5) .00 X 00 .00
Cl6) 412,512.84 X 045 = 18,563.08
Cl7) .00 X 12 = .00
Cl8) .00 X 15 = .00
Cl9)= 18,563.08
pAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
09-15-2005 CD005805 928.15 17,634.93
TOTAL TAX CREDIT 18,563.08
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 DU~
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)