HomeMy WebLinkAbout01-02-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
No73CE OF IN~IERITANCE TAX
BUREAU OF INDIVIDUAL TAXES AppgAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION
PO BOX 280601 QF :DE~DUC7tLQNS .AND-ASSESSMENT OF TAX
HARRISBURG PA 17128-0601 REV-1547 EX AFP (12-08)
"~~i,,~"t~~-~ ~i~ ~: (~TE 12-29-2008
ESTATE OF BRINKERHOFF HELEN L
r~i -- :- ~- DATE OF DEATH 06-28-2008
~~_~ L ~ Ir,-r FILE NUMBER 21 08-0804
v+•~~ - J '~ ~' ~;~,~ COUNTY CUMBERLAND
THOMAS E FLOWER `'~~ `
'~`ACN 101
S~AIDIS ETAL APPEAL DATE: 02-27-2009
c' 10 9 MARKET S T (See reverse side under Objections
CAMP HILL PA 17011 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 C12-08~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF BRINKERHOFF HELEN L FILE N0. 21 08-0804 ACN 101 DATE 12-29-2008
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)
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)
(1)
00
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
8. Total Assets
ce)
200,651.51
APPROVED DEDUCTIONS AND EXEMPTIONS:
6,538.56
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)
L0. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 1.334.5 3
11. Total Deductions C11) 7.873.09
12. Net Value of Tax Return C12) 192, 778.42
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) 192,778.42
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.
ASSESSMIENT 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) •00 X 045 = .DO
17. Amount of Line 14 at Sibling rate C17) •00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) 192,778.42 X 15 = 28,916.76
19. Principal Tax Due cly)= 28,916.76
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PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
09-15-2008 CD010278 1,445.84 27,471.00
C2) .00
I3) .00
c4) .00
~5) 177,105.35
c6) .00
C7) 23,546.16
TOTAL TAX CREDIT 28,916.84
BALANCE OF TAX DUE .08CR
INTEREST AND PEN. .00
TOTAL DUE .08CR
* 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
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