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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
...., ~PPRAISEMENT, ALLOWANCE OR DISALLOWANCE
(\..\';I.OF DEDUCTIONS AND ASSESSMENT OF TAX
07-31-2006
DRAKSLER
10-03-2005
21 05-0951
CUMBERLAND
101
APPEAL DATE: 09-29-2006
( 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 4-
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REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
JOHN J FILE NO. 21 05-0951 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
ANDREW C SHEELY E$Q
ANDREW C SHEELY A1TY
PO BOX 95
MECHANICS BURG
PA 17055
ESTATE OF DRAKSLER
*
REV-1547 EX AFP (06-05)
JOHN
J
TAX RETURN WAS: (X) ACCEPTED AS FILED
DATE 07-31-2006
) 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)
(7)
11 ,586.02
.00
.00
.00
13.700.78
2.909.76
94,104.63
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Ad.. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Govern.ental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
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. A.ount of Line 14 at Spousal rate (15)
16. A.ount of Line 14 taxable at Lineal/Class A rate (16)
17. A.ount of Line 14 at Sibling rate (17)
18. A.ount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
(9)
llO)
NOTE:
12,243.77
5.007.76
(11)
ll2)
ll3)
(14)
.00 X
105,049.66 X
.00 X
.00 X
00 =
045 =
12 =
15 =
(19)=
NOTE: To insure proper
credit to your account,
sub.it the upper portion
of this for. with your
tax pay.ent.
122,301.19
17.251 53
105,049.66
.00
105,049.66
.00
4,727.23
.00
.00
4,727.23
TAX C DITS:
I"A' IT n~_~.. l+J AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
06-08 2006 CD006806 .00 4,727.23
TOTAL TAX CREDIT 4,727.23
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 HAY BE 1f~1
A REFUND. SEE.~EVERSE SIDE OF THIS FORM FO~INSTRUCTIONS.)'2>