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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
1\0\\;:\'1 nrW~ G~ INHERITANCE TAX
B.tC\AP~~~~Nr,,, ~LLOWANCE OR DISALLOWANCE
r,...n'~6iF-'~EDUC1",IONS AND ASSESSMENT OF TAX
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REV-1547 EX AFP (06-05)
28 Pl"i 3: Go DATE 11-21-2005
ESTATE OF ORSIN FRANCIS C
DATE OF DEATH 04-06-2005
FILE NUMBER 21 05- 0823
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 01-20-2006
( See reverse side under Objections)
A_ount Re.ittedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
~~!_~~~~~_!~!~-~!~~------~---~~!~!~-~~~~~-~~~!!~~-~~~-!~~~-~~~~~p~--~--------------------
REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF ORSIN FRANCIS C FILE NO. 21 05- 0823 ACN 101 DATE 11-21-2005
n(\~
LUti;)
DOUGLAS G MILLER ESQ
IRWIN & MCKNIGHT
60 W POMFRET ST
CARLISLE PA 17013
TAX RETURN WAS: {Xl ACCEPTED AS FILED
l CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate {Schedule Al
2. Stocks and Bonds {Schedule Bl
3. Closely Held Stock/Partnership Interest (Schedule Cl
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule El
6. Jointly Owned Property (Schedule Fl
7. Transfers {Schedule Gl
S. Total Assets
(1)
(2)
{3l
(4l
(5)
(6l
(7l
.00
.00
.00
.00
1,591.41
.00
.00
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
(Sl
1,591.41
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 Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
(9l
ClOl
780.00
95,595.02
(Ill
Cl2l
Cl3l
Cl4)
96.~7"i.D?
94,783.61-
.00
94,783.61-
NOTE: If an assessllent was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of !.b!:. returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate Cl5l .00 X 00 .00
16. Amount of Line 14 taxable at Lineal/Class A rate Cl6l .00 X 045 = .00
17. Amount of Line 14 at Sibling rate Cl7) .00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate ClSl .00 X 15 = .00
19. Principal Tax Due Cl9l= .00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT {+l AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-l
TOTAL TAX CREDIT .00
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. f\ ~
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRl, YOU MAY BE DU~
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)