HomeMy WebLinkAbout08-15-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
- - ,--NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES APPRA'ISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION OF ,DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 ,
HARRISBURG PA 17128-0601 ~ REY-1547 EX AFP (06-05)
~~!''~ ~`~'~~ ~ ~ ~~~~ ~~ ~~ ESTATE OF GRISSINGER ANNA T
DATE OF DEATH 11-17-2007
i ~-r
' -iii l~r FILE NUMBER 21 07-1089
U~P~'~''~.~'~ :', i~~i~,~~T COUNTY CUMBERLAND
KEITH D WAGNER CLi~'~~F';~-'=~ ~' "-~~~ ~~'i~~ ~~ ACN 101
BRINSER ETAL APPEAL DATE: 10-10-2008
PO BOX 323 (See reverse side under Objections)
PALMYRA PA 17078 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 Ems'
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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 GRISSINGER ANNA T FILE N0. 21 07-1089 ACN 101 DATE 08-11-2008
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)
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
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
c8) 514,545.60
APPROVED DEDUCTIONS AND EXEMPTIONS:
23,581.60
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 16.00
11. Total Deductions C11) 23.597.60
12. Net Value of Tax Return C12) 490,948.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) 24 5,4 74.00
14. Net Value of Estate Subject to Tax C14) 245,474.00
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
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
T~V f•~CTTTr.
C1) .00
cz) .00
C3) .00
C4) .00
c5) 514,545.60
c6) .00
c7) .00
00 _ .00
045_ 11,046.33
12 _ .00
15 = .00
c19)= 11,046.33
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-) AMOUNT PAID
02-13-2008 (0009302 526.32 10,000.00
05-28-2008 (0009804 .00 520.01
~ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX CREDIT 11,046.33
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
C IF TOTAL DUE IS LESS THAN ffi1, 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.)
(15) . 00 X
c16) 245,474.00 X
c17) • 00 x
clB) • 00 x