HomeMy WebLinkAbout07-25-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
-NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES A~PI~A`ISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION _ ~.OF DEDW,CTIONS AND ASSESSMENT OF TAX
PO BOX 280601
HARRISBURG PA 17128-0601 ~-'-- -'`~ '` REV-1547 EX AFP (06-05)
~~~~ ~~~~ ZS ~~ '~ ~0 DATE 07-21-2008
ESTATE OF HARCLERODE JOHN N
DATE OF DEATH 01-20-2008
11~.~r+~ L+~ ,~ FILE NUMBER 21 08-0442
~~ ~ `~ ~ COUNTY CUMBERLAND
(}~FH ~, :, ~J!~
JAN M SLOAT fir, _- '. f ~~` Ft~ ACN 101
67 NORTHVIEW DR ~~' APPEAL DATE: 09-19-2008
MECHANICSBURG PA 17050 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
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REV-1547 EX AFP C03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HARCLERODE JOHN N FILE N0. 21 08-0442 ACN 101 DATE 07-21-2008
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .00 NOTE: To insure proper
2. Stocks and Bonds (Schedule B) C2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) .00
6. Jointly Owned Property (Schedule F) C6) 19, 107.00
7. Transfers (Schedule G) (7) .0 0
19,107.00
8. Total Assets C8)
APPROVED DEDUCTIONS AND EXEMPTIONS: 8,493.28
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions (11) 8.493_ 8
12. Net Value of Tax Return C12) 10,613.72
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax (14) 10,613.72
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate (15) •00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 10,613.72 X 045 = 477.62
17. Amount of Line 14 at Sibling rate (17) •00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) •00 X 15 = .00
19. Principal Tax Due C19)= 477.62
TAY f DCTTTC.
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
04-17-2008 (0009588 22.34 424.55
PAYMENT MUST BE MADE BY 10-20-2008*.
^ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX CREDIT 446.89
BALANCE OF TAX DUE 30.73
INTEREST AND PEN. .00
TOTAL DUE 30.73
IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. ~
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)