HomeMy WebLinkAbout06-05-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
i NOTICE OF INHERITANCE TAX
BUREAIU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERI1fANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601
HARRISNURG PA 17128-0601 - ~~
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RICHARD L BUSHM/F~i~J;^L~SQ ~",,`
16767 PATH VALLEY RD
PO BOX 51
SPRING RUN PA 17262
REY-1547 EX AFP (01-09)
DATE 06-02-2009
ESTATE OF STINE RAY M
DATE OF DEATH 04-19-2008
FILE NUMBER 21 08-0504
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 08-01-2009
(See reverse side 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 F-
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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 STINE RAY M FILE N0. 21 08-0504 ACN 101 DATE 06-02-2009
TAX RETURN WAS: I ) ACCEPTED AS FILED C X) CHANGED SEE ATTACHED NOTICE
KtJtKVAllU1V ~unF:EKniNS 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 Stack/Partnership Interest (Schedule C)
~i. Mortgages/Notes Receivable (Schedule D)
!i. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
ii. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
C1) 750,000.00 NOTE: To insure proper
I2) 10.00 credit to your account,
C3) .00 submit the upper portion
of this form with your
C4) .00 tax payment.
c5) 295,667.29
c6) .00
cn .00
c8) 1,045,677.29
Si. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Iq) 101 , 859.68
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 11,34 0 .04
11.. Total Deductions C11) 113,199.7
11. Net Value of Tax Return C12) 932,477.57
13. Charitable/Governmental Bequests; Non-elected 9113 Trus ts (Schedule J) C13) 12,000.00
lei. Net Value of Estate Subject to Tax (14) 920,477.57
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:
LFi. Amount of Line 14 at Spousal rate X15) .00 X 00 _ .00
lE.. Amount of Line 14 taxable at Lineal/Class A rate c16) 920,477.57 X 045 = 41,421.49
17'. Amount of Line 14 at Sibling rate (17) .00 X 12 _ .00
lE.. Amount of Line 14 taxable at Collateral/Class B rate C18) •0 0 X 15 _ .00
19. Principal Tax Due
c19)=
41,421.49
rwv rocntrc.
PAYMENT
LATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
07-18-2008 CD010031 1,052.63 20,000.00
07-18-2008 CD010032 1,018.44 50,000.00
01-09-2009 CD010745 .00 1,487.39
FuFaL Fax CREDIT 73,558.46
BALANCE OF TAX DUE 32,136.97CR
INTEREST AND PEN. .00
TOTAL DUE 32,136.97CR
* IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN 81, NO PAYMENT IS REQUIRED.
FDR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
REV-1470 EX (8-88)
INHERITANCE TAX
EXPLANATION
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE QF GHANGFS
PO Box 280601
-HARRISBURG, PA 17128-0601
DE EDENT'S NAME
STINE
RAY M FILE NUMBER
, 2108-0504
REVIEWED BY ACN
Bryan Rondon 101
ITEM
SCHEDULIE NO. EXPLANATION OF CHANGES
A 1. Assessed at $ 750,000.00.
It represents 50% of the fair market value originally assessed based on petition
presented by the attorney via fax dated March 09th, 2009.
The charitable contribution improperly reported under line 15 in the return has been
moved to line 13 as charitable bequest by the decedent.
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