HomeMy WebLinkAbout12-08-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL. TAXES ^~ J ~ ~lbTICE OF INHERITANCE TAX
AFrP~'AISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION - F DE; UCTIONS AND ASSESSMENT OF TAX
PO BOX 286661 .., _.~~ E, ~
HARRISBURG PA 17128-0661 REV-1547 EX AFP (06-05)
~(~~~ ~~C -~ ~~ ~: ~ 7 DATE 12-01-2008
ESTATE OF C;LIROK MARION
~, ~r,~,~ ~,-- DATE OF DEATH 05-04-2008
~~~.~~ ~~ ~ ~~~~-r FILE NUMBER 2:L 08-0577
„ „ ',!- ;-,~ ~A COUNTY CIMBERLAND
SUSAN J HARTMAN Cl, ''ry ACN 101
1 IRVINE ROW APPEAL DATE: 01-30-2009
CARLISLE PA 17013 (See reverse side under Objections)
Amount Remitted)
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND f:0 COURT HOUSE
CARLISLE, Ply 17013
CUT ALONG THIS LINE _ ~ R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS E- _ _______________ ~
REV-1547 EX AFP C03-05~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT' OF TAX
ESTATE OF CZIROK MARION FILE N0. 21 08-0577 ACN 101 DATE 12-01-2008
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
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests;
14. Net Value of Estate Subject to Tax
cl) .00
c2) 129., 156.44
c3) .00
c4) .00
c5) 115,696.03
c6) .00
c7) .00
C8)
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
244,852.47
27.,424.56
C9)
Ilo) 1,337.82
C11) 78.76 .;8
c12) 216, 090.09
Non-elected 9113 Trusts (Schedule .I) (13) •00
c14) 216,090.09
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
TAY (`DCTTTC.
C15)
.00 X
c16) 216, 0911 .09 X
c17) • 00 x
cl8) • 00 X
00 = .00
045= 9,724.05
12 _ .00
15 _ .00
clv= 9,724.05
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) gMOUNT F'AID
08-01-2008 CD010082 486.20 10,000.00
~ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX CREDIT 10,486.20
BALANCE OF TAX DUE 762.15CR
INTEREST ANI) PEN. .00
TOTAL DIIE 762.15CR
C IF TOTAL DUE IS LESS THAN 81, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED A,S A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
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