HomeMy WebLinkAbout06-01-09 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
~ ~-~ -.~ NpT-ICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ,q+pp.R10.S3EM~Nt, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~,OF~DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 1. ,
HARRISBURG PA 17128-0601 ~°- - '' "' ' `"
~~09 JUG - i ~f S 12~ 21
p C? EF~C Qr
Of~~l t7,ti s i.~i~~r,il l
JANE M ALEXANDER ES "Ua.~ar~ '~" , ~ ~ ~ , P
148 S BALTIMORE ST
DILLSBURG PA 17019
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ---- ~-! RETAIN LOWER PORTION FOR YOUR RECORDS ~ _________
---------------- -- -----------------------------------------------
REV-1547 EX AFP (01-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF GRiFFiTH SUDIE M FILE N0. 21 08-0902 ACN 101 nATE 05-25-2009
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)
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)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
(1) .00 NOTE: To insure proper
(2) .00 credit to your account,
(3) .00 submit the upper portion
of this form with your
(4) .00 tax payment.
[5) .00
(6) 3,877.91
(7) .00
(8) 3,877.91
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (g) 8 33.70
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10)_ 1.4 72.29
11. Total Deductions
C11) 9.30-99
12. Net Value of Tax Return C12) 1,571.92
13. Charitable/Governmental Bequests; Non-elected 9113 Trus ts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) 1,571.92
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 (15) .00 X 00 _ .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 1,571.92 X 045 = 70.74
17. Amount of Line 14 at Sibling rate (17) .00 X 12 _ .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .00 X 15 _ .00
19. Principal Tax Due (19)= 70.74
TAX CRFi1TTS.
DATE C
NUMBER D SC (+
INTEREST/PEN PAID (-)
AMOUNT PAID
08-29-2008 YK015815 .00 70.74
TOTAL TAX CREDIT 70.74
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 81, NO PAYMENT IS REpUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YDU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.]
REY-1547 EX AFP (01-09)
DATE 05-25-2009
ESTATE OF GRIFFITH SUDIE M
DATE OF DEATH 04-24-2008
FILE NUMBER 21 08-0902
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 07-24-2009
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0: