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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'-'FI"\."'Il'"'rr0 r'i-r-,("\:- .-liIOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ;-f~'),)'I;!=L-; Uipj:t.dISEMENT., ALLOWANCE OR DISALLOWANCE
~~~T~~~oIAX DIVISION .~_ I~DUCTIONS AND ASSESSMENT OF TAX
HARRISBURG PA 17128-0601
11-13-2006
HERSHEY
05-16-2006
21 06-0469
CUMBERLAND
101
APPEAL DATE: 01-12-2007
( 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 -+ RETAXN LOWER PORTION FOR YOUR RECORDS ....
---------------------------- --------------------------------------------------------------
REV-1547 EX AFP (03-05) NOTX E OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISAL OWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
R BERT R FILE NO. 21 06-0469 ACN 101
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
2006 NOV I 4 PM I: I 2
CL RK OF
ORPHA 'S COURT
STEPHEN L BLOOtClSSiEP: CO., P.A
2100 LONGS GAP RD
CARLISLE PA 1 013
ESTATE OF HERSHEY
IN WAS: (X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTUR INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN SA ED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks end Bonds (Schedule B)
3. Closely Held Stock/Part.,.,. ip Interest (Schedule C)
4. Hortgages/Notes Receivable (Schedule D)
S. CashlBank Deposits/Misc. P sonel Property (Schedule E)
6. Jointly Owned Property ( le F)
7. Transfers (Schedule G)
8. Total Assets
( ) CHANGED
U)
(2)
(3)
(4)
(5)
(6)
(7)
107,920.00
426.544.26
.00
.00
166.407.96
.00
.00
(8)
APPROVED DEDUCTIONS AND EX EM TIONS:
9. Funeral Exp-.,ses/AcIII. Costs be. Exp-.,.es (Schedule H)
10. Dabt./Hortgaga Liabilitle.1 len. (Schedul. I)
11. Total Deductions
12. Net Value of Tax Retum
13. Charltab1e/GoYer~te1 sols; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subj ct to Tax
I~ an assea..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:
1S. AIIount of Une 14 at Spouse
16. AIIowIt of Line 14 taxable a
17. A.ount of Line 14 at Slblin
18. A.ount of Line 14 taxable a
19. Principal Tex Du.
NOTE:
rate
Llneel/Class A rete
rat.
Co1laterel/Cla.. B rate
DATE
08-15-2006
NUtlBER
CD007098
XNTEREST/PEN PAID (-)
3.,331.67
35.,398.51
156.67
(11)
(2)
(3)
U4 )
(9)
(10)
US)
(6)
(17)
(8)
.00 X
.00 X
555.,277.63 X
.00 X
00 =
045 =
12 =
15 =
(19)=
*'
REV-1547 EX AFP (06-05)
ROBERT
R
AHOUNT PAID
65,000.00
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
DATE 11-13-2006
NOTE: To Insure proper
credit to your eccount.,
sublai t the upper portion
of this for. with your
tax pay.ant.
700.,872.22
35.1;1;1; 18
665.,317.04
110,039.41
555.,277.63
19 will
.00
.00
66,633.32
.00
66,633.32
68.,331.67
1.,698.35CR
.00
1.,698.35CR
. IF PAID AFTER DATE INDICATED., SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTlREST.
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT 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.)