HomeMy WebLinkAbout05-04-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'NOPICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES AF'PRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION `'~,"'_I `
~.-'OF%DEDLCTIONS AND ASSESSMENT OF TAX
PO BOX 280601
HARRISBURG PA 17128-0601 REV-1547 EX AFP CO1-09)
~~~C~ 1~~ -~ P~ ~~~'.~ 33 DATE 04-27-2009
ESTATE OF HENSON HERTHA A
^' ~ DATE OF DEATH 12-10-2008
~~F_~~., r;..
Q(~~'f-=,~,,'.i',~ ..)l.'F~r FILE NUMBER 21 08-1242
C~ ~~ ^'" `~• ~~,a COUNTY CUMBERLAND
MONIKA M POST - 'y ACN 101
4430 PACKARD LN APPEAL DATE: 06-26-2009
CAMP H I L L PA 17 011 (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 ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS 4--~
REV-1547 EX AFP CO1-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HENSON HERTHA A FILE N0. 21 08-1242 ACN 101 DATE 04-27-2009
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .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) C4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 6,830.66
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (g) 6,830.66
APPROVED DEDUCTIONS AND EXEMPTIONS: 1,983.00
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 576.48
11. Total Deductions C11) •~~9-4~
12. Net Value of Tax Return C12) 4,271.18
13. Charitable/Governmental Bequests; Non-elected 9113 Tru sts (Sche dule J) (13) .00
14. Net Value of Estate Subject to Tax C14) 4,271.18
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 C15) •00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 4,271..18 X 045 = 192.20
17. Amount of Line 14 at Sibling rate (17) .00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) •00 X 15 = .00
19. Principal Tax Due
rwv rornrrc. (19)= 192.20
PAYMENT
DATE RECEIPT
NUMBER D SCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT F'AID
12-18-2008 CD010654 9.61 182.59
TOTAL TAX CREDIT 192.20
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN #~1, NO PAYMENT IS REQUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE C
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)