HomeMy WebLinkAbout05-04-09BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
PENNEY A NOSS
317 S ENOLA DR
ENOLA
COMMONWEALTH OF PENNSYLVANIA
I]EPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
`Q~P,RAISEMENT, ALLOWANCE OR DISALLOWANCE
' " ~' "~' `O'F 'DEDUCTIONS AND ASSESSMENT OF TAX
REV-1547 EX AFP CO1-09)
~it~9 ~1~~ -~} P11 ~~• ~ ~ DATE 04-27-2009
ESTATE OF BREWBAKER SR CHARLES N
`~" '*' DATE OF DEATH 03-04-2008
(LEI .r,~
O~~t~ ,~ ~ ~,T FILE NUMBER 21 08-0265
CI~C~'r a~ .; f \~ P~;, COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 06-26-2009
PA 17025 (See reverse sine under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF 'WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALON_6 THIS LINE _ ~ R_ETA_IN LOWER PORTION FOR YOUR RECORDS ~ _ _______________
REV-1547 EX AFP CO1-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF BREWBAKER SR CHARLES N FILE N0. 21 08-0265 ACN 101 DATE 04-27-2009
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 A3 C1) .0 0 NOTE: To insure proper
2. Stocks and Bonds (Schedule B) C2) ,OQ credit to your account,
00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) • of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 34,626.4 3
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets Ce) 34,626.43
APPROVED DEDUCTIONS AND EXEMPTIONS: 8,293.00
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .00
11. Total Deductions (11) g•29;-DD
26,333.43
12. Net Value of Tax Return (12)
.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13)
26,333.43
14. Net Value of Estate Subject to Tax (14)
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) 26,333.73 X 00 = .00
c16) .00 X 045 _ .00
cln .00 X 12 = .00
clB) .00 X 15 = .00
c19)= .00
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX CREDIT .00
BALANCE DF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DIJE .00
^ IF PAID AFTER DATE INDICATED, SEE REVERSE C IF TOTAL DUE IS LESS THAN l~1, NO PAYMENT IS REQUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED E1S A "CREDIT" CCR), YOU MAY BE DU
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)