HomeMy WebLinkAbout11-14-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
ly ,WO~ICE-OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES 1,1PPRAISEMEIJT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION
PO Box 28ocB1 ;i;.~,.j,; ~! i 0~ DCDUCTIONS AND ASSESSMENT OF TAX
HARRISBURG PA 17128-060]. REY-1547 EX AFP (06-05)
~~~~ (~~ ~ 4 ~~ ~~' 23 DATE 11-10-2008
ESTATE OF URBAN PATRICIA A
o~~~)~~~ ~ c~~~!~T
KEITH 0 BRENNEMAN CiJ~,"' , .r ~~ ~ ~~
SNELBAKER K BRENNEMAN
44 W MAIN ST
MECHANICSBURG PA 17055
DATE OF DEATH 02-26-2008
FILE NUMBER 21 08-0286
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 01-09-2009
(See reverse :ride 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 ---- ~ R_ETA_IN LOWER POR_TION_ FOR YOUR RECU_RDS ~-' _ ___________
REV-1547 EX AFP (03-05~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT" OF TAX
ESTATE OF URBAN PATRICIA A FILE N0. 21 08-0286 ACN 101 DATE 11-10-2008
TAX RETURN WAS: (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) (2) ,00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
4.
Mortgages/Notes Receivable (Schedule D)
(4)
.00 of this form with your
tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5). 3'e:,300.71
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) 25,357.59
8. Total Assets (B) 57, 658.30
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (g) 4,38 2.36
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 14 7.59
11. Total Deductions
(11) 4. 9 9
12. Net Value of Tax Return (12) 53, 128.35
13. Charitable/Governmental Bequests; Non-elected 9113 Trus ts (Schedule .I) (13) .00
14. Net Value of Estate Subject to Tax C14) 53, 128.35
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
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 53,128.35 X 045_ 2,390.78
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 (19)= 2,390.78
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT F'AID
08-13-2008 CD010139 .00 2,390.78
TOTAL TAX CREDIT 2,390.78
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE ~OF THIS FORM FOR INSTRUCTIONS.)