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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
06-12-2006
RECH
01-23-2006
21 06-0342
CUMBERLAND
101
APPEAL DATE: 08-11-2006
( 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
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +-
-.-~-~---~-----~.---------------------------------------------------------------------------
REV-1547 ~X AFP l03~05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
C DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF RECH MARTHA D FILE NO. 21 06-0342 ACN 101
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX Z80601
HARRISBURG PA 171Z8-0601
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
MICHAEL J WILSON ATTY
816r-.DERBY AVE
CAMP HILL
PA 17011
REV-1547 EX AFP (06-05)
MARTHA
D
TAX RETURN WAS: (X) ACCEPTED AS FILED
DATE 06-12-2006
) 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)
(7J
.00
.00
.00
.00
43.593.98
.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
NOTE: IT an assessment was issued previOUSly, lines
reTlect Tigures that include the total oT ALL
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate (lS)
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
(9)
(10)
2,664.00
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
43,593.98
2.664 DO
40,929.98
.00
40,929.98
14, 15 and/or 16, 17, 18 and 19 will
returns assessed to date.
.00 X 00 =
40,929.98 X 045 =
.00 X 12 =
.00 X 15 =
(19)=
.00
(11)
(12)
U3}
(14)
.00
1,841. 85
.00
.00
1,841.85
TAX CREDITS:
..,NUHBE R l+J AMOUNT PAID
DATE INTEREST/PEN PAID (-)
04-19-2006 ,./CD006572 92.09 1,749.76
TOTAL TAX CREDIT 1,841.85
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 DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
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