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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
, APJ;'RAISEJ1EtlT ,. ALLOWANCE OR DISALLOWANCE
, . OF DEDUCTIONS AND ASSESSMENT OF TAX
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
02-13-2006
SHAY
07-02-2005
21 05-0643
CUMBERLAND
101
APPEAL DATE: 04-14-2006
(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~~_!~!~_~!~~______~___~~!~!~_~Q~~~_~Q~!!Q~_~Q~_YQ~~_~~~Q~~~__~____________________
REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
JANASIA I FILE NO. 21 05-0643 ACN 101
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
r: .. ,-, ~
'''~
J
MURREl R WALTERS III ~~Q
54 E MAIN ST
MECHANICSBURG
PA 17055
ESTATE OF
SHAY
TAX RETURN WAS: (X) ACCEPTED AS FILED
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
) CHANGED
ll)
(2)
(3)
(4)
(5)
(6)
(7)
270,000.00
13.931.15
.00
.00
13.742.41
.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 BequestSj Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
NOTE: I~ an assessment was issued previously, lines
re~lect ~igures that include the total o~ ALL
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:
DATE
12-13-2005
12-13-2005
+
INTEREST/PEN PAID (-)
.00
.00
NUMBER
CD006099
CD006100
· IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
35,151.00
79.072.47
lll)
(12)
(13)
(14)
(9)
1l0)
REV-1547 EX AFP (06-05)
JANASIA
I
DATE 02-13-2006
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
297,673.56
114.72347
183,450.09
.00
183,450.09
14, 15 and/or 16, 17, 18 and 19 will
returns assessed to date.
.00
4,127.63
.00
13,758.76
17,886.39
17,886.39
.00
.00
.00
.00 X 00 =
91,725.05 X 045 =
.00 X 12 =
91,725.04 X 15 =
(19)=
AMOUNT PAID
13,758.76
4,127.63
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE 0
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)