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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
CC _', r,r' _'"' NQU~~,.Of ..INHERITANCE TAX
,j' APPRAlSEHEtfTI'AlLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
06-19-2006
BROSIUS SR
04-17-2005
21 05-0437
CUMBERLAND
101
APPEAL DATE: 08-18-2006
( See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE1 PA 17013
9~!_~~9~~_!~}~_~}~~______~___~~!~!~_~Q~~~_~Q~!!Q~_EQ~_!Q~~-~~~Q~~~--~--------------------
REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
DELROY D FILE NO. 21 05-0437 ACN 101
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX ZB0601
HARRISBURG PA 171Z8-0601
" !r-
(i n
U
CLARENCE E ASBURY
MCKONLY 8 ASBURY
415 FALLOWFIELD RD
CAMP HILL PA
17011
ESTATE OF
BROSIUS SR
REV-1547 EX AFP (06-05)
DELROY
D
TAX RETURN WAS: (X) ACCEPTED AS FILED
DATE 06-19-2006
) 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. Hortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Hisc. Personal Property (Schedule E)
&. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
(1)
(2)
(3)
(4)
(5)
(&)
(7)
.00
.00
1.430,000.00
431697.00
86,250.00
468,982.00
316,219.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Hisc. Expenses (Schedule H)
10. Debts/Hortgage 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
(9)
(10)
25,571.00
NOTE: To insure proper
credit to your account 1
submit the upper portion
of this form with your
tax payment.
213451148.00
28.000 00
2,3171148.00
.00
2,317,148.00
NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
re~lect ~igures that include the total o~ ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
1&. 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
2.429.00
(11)
(12)
(13)
(14)
(15) 895,019.00 X 00 = .00
11&) 1.422,129.00 X 045 = 63,995.81
(17) .00 X 12 = .00
(18) .00 X 15 = .00
(19)= 63,995.81
TAX CREDITS:
. "' ,,~.., ,,~~~~, l'l'J AHOUNT PAID
DATE NUHBER INTEREST/PEN PAID (-)
*** SUMMARY 0 ALL 06 PAYMENTS **
01-13-2006 3,002.64 61,070.82
TOTAL TAX CREDIT 64,073.46
BALANCE OF TAX DUE 77.65CR
INTEREST AND PEN. .00
TOTAL DUE 77.65CR
* If PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. ~
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)