HomeMy WebLinkAbout10-03-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE 1fAX DIVISION OF 'DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601
HARRISBURG PA 17128-0601 REV-1547 EX AFP (06-05)
i:~; _,';~ ..'~ F ~`~ DATE 09-29-2008
ESTATE OF HAIR HAROLD L
DATE OF DEATH 02-21-2008
^~`` ~,.r FILE NUMBER 21 OS-0208
^, I' " _ COUNTY CUMBERLAND
JOHN M EAKIN ACN 101
MARKET SQUARE BLDG APPEAL DATE: 11-28-2008
MECHANICSBURG PA 17055 (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 HAIR HAROLD L FILE NO. 21 08-0208 ACN 101 DATE 09-29-2008
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
RESERVATION CONGERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) 102, 000. DO NOTE: To insure proper
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
[2) .00 credit to your account,
submit the upper portion
C3) .DO of this form with your
C4) .00 tax payment.
C5) 3,349.52
C6) .00
(~) .00
($) 105,349.52
APPROVED DEDUCTIONS AND EXEMPTIONS:
2,925.62
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)
10.. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 790.92
11. Total Deductions C11) 3.716. 4
12. Net Value of Tax Return C12)
101,632.98
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate SubJect to Tax (14)
101,632.98
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 C15) •00 X 00 _ .00
lb.. Amount of Line 14 taxable at Lineal/Class A rate C16) 101,632.98 X 045 = 4,573.48
li'. Amount of Line 14 at Sibling rate (17) .00 X 12 _ .00
1F3. Amount of Line 14 taxable at Collateral/Class B rate C18) .00 X 15 _ .00
19. Principal Tax Due C19)= 4,573.48
TAY rRFnTTC.
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
07-08-2008 (0009991 .00 4,573.48
TOTAL TAX CREDIT 4,573.48
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE C IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED.
FGR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DU Fl n~
o REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) "~U~