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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
q;=rOFCED&::f.;n~ OF INHERITANCE TAX
:-- .~ "TAF-f . S~ENT I ALLOWANCE OR DISALLOWANCE
,--,,_! L-b,:loeJ)\joiioNS AND ASSESSMENT OF TAX
11-06-2006
SEIFERT
07-23-2005
21 05-0699
CUMBERLAND
101
APPEAL DATE: 01-05-2007
( See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLEI PA 17013
CUT ALONG THIS LINE ,-+ RETAIN LOWER PORTION FOR YOUR RECORDS +-
---------------------------- --------------------------------------------------------------
REV-1547 EX AFP (03-05) NOTI E OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISAL OWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
A BERT C FILE NO. 21 05-0699 ACN 101
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX Z80601
HARRISBURG PA 17128-0601
ANDREW C SHEELY
127 S MARKET ST
PO BOX 95
MECHANICSBURG
2006 'DV 14 PH I: 09
CLERK OF
OR HAN'S COURT
CUML FR.l tV'J,f) ('0 nA
ESQ" , ,.lH \..1 ., r/"l
DATE
ESTATE OF
DA TE OF DEATH
FILE NUMBER
COUNTY
ACN
ESTATE OF SEIFERT
RN WAS: (X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTUR INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BA ED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule )
3. Closely Held Stock/Partner ip Interest (Schedule C)
ct. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Oepositslttlsc. Pe sonal Property (Schedule E)
i. Jointly Owned Property (Sc 1e F)
7. Transfers (Schedule S)
8. Total Assets
( ) CHANGED
(1)
(2)
(3)
(ct)
(5)
(i)
(7)
.00
.00
.00
.00
.00
.00
1691494.55
(8)
APPROVED DEDUCTIONS AND EXEM TIONS:
9. Funeral Expanses/A~. Costs Misc. Expenses (Schedule H) (9)
10. OebtslHortgage Liabilities/ iens (Schedule I) (10)
11. Total Deductions
12. Net Velue of Tax Return
13. Charltable/Sover~tel equests; Non-elected 9113 Trusts (Schedule J)
1ct. Net Value of Est.te Subj t to Tax
I~ an a5s.s.-ent was issued previously, lines 14, 15 and/or 16, 17, 18 and
reflect ~igures that include the total o~ ALL returns assessed to date.
ASSESSMENT OF TAX:
15. AiIount of Line 1ct at Spouse
16. '-aunt of Line lct taxable.
17. A.ount of Line 1ct at Siblin
18. '-aunt of Line lct texable a
19. Principal Tex Due
T ·
NOTE:
rete
Line.l/Cless A rete
rate
Collateral/Class Brat.
DATE
NUHBER
INTEREST/PEN PAID (-)
.00
.00
(11)
ll2)
ll3)
llct )
llS)
lli)
ll7)
(18)
1691494.55 X
.00 X
.00 X
.00 X
'*
REV-IS47 EX AFP (06-05)
ALBERT
C
AMOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
DATE 11-06-2006
NOTE: To insure proper
credi t to your account I
subait the upper portion
of this for. with your
tax pe)'lNmt.
1691494.55
00
1691494.55
.00
1691494.55
19 will
00 =
045 =
12 =
15 =
.00
.00
.00
.00
.00
ll9)=
.00
.00
.00
.00
. IF PAID AFTER DATE INDICATED I SEE REVERSE
FOR CALCULATION OF ADDITIONAL INT REST.
( IF TOTAL DUE IS LESS THAN $11 NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR) I YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)