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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
n-:r~li,~'rJ:G (Y:ci/~1ICE OF INHERITANCE TAX
'-... j. -"-AP".ISEttENT, ALLOWANCE OR DISALLOWANCE
, . r OF pt;DUCTIONS AND ASSESSMENT OF TAX
t_' \,..': ."..
11-13-2006
MIDURI
07-08-2006
21 06-0626
CUMBERLAND
101
APPEAL DATE: 01-12-2007
( See reverse side under Objections)
Amount Re.ittedl 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 EX AFP (03-05) NOTI E OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISAL OWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
B RBARA A FILE NO. 21 06-0626 ACN 101
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
2UU6 N V , 4 PM ,: I 2
KEVIN M MIDURI
112 KINGS MILL
HBG
LERI< OF
C~S~J~Dcg6~TpA
CT
PA 1 110
ESTATE OF MIDURI
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 B)
3. Closely Held Stock/Partner ip Interest (Schedule C)
4. Mortgages/Notes Receivable (Schaclule D)
S. Ca~ Deposits/Hisc. P sonal Property (Schedule E)
6. Jointly Owned Property ( le F)
1. Transfers (Schedule G)
8. Total Assets
( ) CHANGED
U)
(2)
(3)
(4)
(S)
(6)
(1)
.00
92.315.22
.00
.00
33.968.84
.00
253,895.86
(8)
APPROVED DEDUCTIONS AND EXEM TIONS:
9. Funeral Expenses/A~. Costs ise. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/ lens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/GoYe~tal sts; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subj t to Tax
I~ an asses..ent Mas issued previouslY, lines 14, 15 and/or 16, 17, 18 and 19 will
r~lect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
IS. ABount of Line 14 at Spousa
16. A80unt of Line 14 taxable a
11. A80unt of Line 14 at Siblin
18. Aaount of Line 14 taxable a
19. Principal Tax Due
NOTE:
rate
Lineal/Class A rate
rate
Coll.teral/Class B rate
DATE
10-03-2006
NUttBER
CD007279
XNTEREST/PEN PAXD (-)
853.15
(9)
UOl
US)
(16)
(17)
(8)
1,000.00
.00
(11)
(2)
(3)
(4)
.00 X
379,179.92 X
.00 X
.00 X
00 =
045 =
12 =
15 =
AItOUNT PAID
16,209.94
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
*'
REV-1547 EX AFP (06-05)
BARBARA
A
DATE 11-13-2006
NOTE: To insure proper
credit to your account,
subIIit the upper portion
of this for. with your
tax paYllBftt.
380,179.92
1.000 00
379,179.92
.00
379,179.92
(9)=
.00
17,063.10
.00
.00
17,063.10
17,063.09
.01
.00
.01
. 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 FORM FOR INSTRUCTIONS.)