HomeMy WebLinkAbout01-09-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
- "" ~ '- ' NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES _. ~ Ap~R~ISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ;QF. DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 _ ~ 1
HARRISBURG PA 17128-0601 ~~~~
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JOHN H BROUJOS ~t~";'
4 N HANOVER ST
CARLISLE PA 17013
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REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE- --~ RETAIN LOWER PORTION FOR YOUR RECORDS 4--- - --------------
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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 CLAPSADL THOMAS R FILE N0. 21 06-0130 ACN 101 DATE 01-12-2009
TAX RETURN WAS: C ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOTICE
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) .00 NOTE: To insure proper
2. Stocks and Bonds (Schedule B) C2) .00 credit to your account,
3. Closely Held StocktPartnership 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
13
14
C9)
C8)
00
REV-1547 EX AFP (12-OB)
submit the upper portion
of this form with your
tax payment.
.00
clo) .00
C11) .00
Net Value of Tax Return C12) .00
Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
Net Value of Estate Subject to Tax
c14) . 00
NOTE: If an assessment was issued previously, lines 14, 15 and/or lb, 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 I16) • 00 X 045 = . 00
17. Amount of Line 14 at Sibling rate C17) • 00 X 12 = . 00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) •0 0 X 15 = .00
19. Principal Tax Due C19)= .00
TAY f DCTIT TC.
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-) AMOUNT PAID
DATE 01-12-2009
ESTATE OF CLAPSADL THOMAS R
DATE OF DEATH 01-15-2006
FILE NUMBER 21 06-0130
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 03-13-2009
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
TOTAL TAX CREDIT .00
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.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
REV-1470 EX (G88)
F ;.
~:, '-~ INHERITANCE TAX
COMMONWEALTH~OF PENNSYLVANIA EXPLANATION
DEPARTMENT OF REVENUE OF CHANGES
BUREAU OF INDIVIDUAL TAXES
PO Box. 280601
HARRISBURG, PA 17128-0601
DECEDENT'S NAME FILE NUMBER
Thomas Richard Clapsadl 2106-0130
REVIEWED BY „~„
Eunice Baker
101
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
This is a Commonwealth Appraisement to waive the filing requirement of the above estate.
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