HomeMy WebLinkAbout03-13-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
~~-n ~,~.,;-.. ^tW~~.GF~.,,DF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~""~!,,;~i~,~{p%~iA~~~,~C~,.~f, "ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION _,-,.,, 1~' '~
PO BOX 280601 ~~'-~ ~ ~ 8)~'D~,IET~Ip.NS AND ASSESSMENT OF TAX
HARRISBURG PA 17128-0601 .. ~ '~ '"'"
REV-1547 EX AFP CO1-09)
2~~~ ~i~ 13 ( 1 ~' ~~ ESTATE OF KAUTZ-2009 JANET L
DATE OF DEATH 02-26-2007
C~ ~~~~{ ~~~ FILE NUMBER 21 07-0852
C~r~ ~n,~ ^ T ` ~ ~i-yT COUNTY CUMBERLAND
MICHAEL CHEREWKA ~t ., ? ~,r~ ACN 101
624 N FRONT ST APPEAL DATE: 05-08-2009
WORMLEYSBURG PA 17043 (See reverse side underObjectinns)
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 (01-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF KAUTZ JANET L FILE N0. 21 07-0852 ACN 101 DATE 03-09-2009
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) (1) .00 NOTE: To insure proper
2. Stocks and Bonds (Schedule B) C2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) .00
6. Jointly Owned Property (Schedule F) (6) 12, 675.00
7. Transfers (Schedule G) (7) .00
8. Total Assets (g) 12, 675.00
APPROVED DEDUCTIONS AND EXEMPTIONS: 6,481.00
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10)_ .00
11. Total Deductions C11) 6.481 .00
12. Net Value of Tax Return (12) 6, 194.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (lG) 6, 194.00
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 00 _ . 00
(16) 6, 194.00 X 045 _ 279.00
(1n .00 X 12 _ .00
(19) .00 X 15 _ .00
(19)= 279.00
PAYM NT
DATE RECEIPT
NUMBER ISCOUN C+)
INTEREST/PEN PAID C-) AMOUNT PAID
*** SUMMARY 0 ALL 05 PAYMENTS **
10-27-2008 .02- 397.34
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX CREDIT 397.32
BALANCE OF TAX DUE 118.32CR
INTEREST AND PEN. .00
TOTAL DUE 118.32CR {
IF TOTAL DUE IS LESS THAN 81, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)