HomeMy WebLinkAbout06-05-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES AP.PRAISf1~lE1!iT~ ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 -
HARRISBURG PA 17128-0601 REV-1547 EX AFP (01-09)
DATE 06-02-2009
~U~ ~~'~ -'~, ~~~~ (~: ~~ ESTATE OF HOSTETLER SR DONALD W
DATE OF DEATH 01-06-2008
~.,~ ~-,` ,`,, FILE NUMBER 21 08-0049
~~,, _ -;,~ DoT COUNTY CUMBERLAND
BRIAN HOSTETLER ~ ' , , ~~., ACN 101
165 LEE ANN CT ~`~- '~ APPEAL DATE: 08-01-2009
ENOLA PA 17025 (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 ~
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REV-1547 EX AFP CO1-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HOSTETLER SR DONALD W FILE N0. 21 08-0049 ACN 101 DATE 06-02-2009
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 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
cl) .00
c2) .00
c3) .00
C4) .00
c5) 8,000.00
c6) .00
C7) . 0 0
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
C8) 8, 000.00
APPROVED DEDUCTIONS AND EXEMPTIONS: 1,465.00
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 914 .60
11. Total Deductions C11) x'379.60
12'. Net Value of Tax Return (12) 5,620.40
13~. Charitable/Governmental Bequests; Non-elected 9113 Trus ts (Schedule J) C13) .00
14~. Net Value of Estate Subject to Tax C14) 5, 620 .40
NOTE: If an assessment was issued previously, l ines 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:
1Fi. Amount of Line 14 at Spousal rate C15) • 00 X 00 = . 00
lE.. Amount of Line 14 taxable at Lineal/Class A rate (16) 5, 620 .40 X 045 = 252.92
li'. Amount of Line 14 at Sibling rate C17) •00 X 12 = .00
1FS. Amount of Line 14 taxable at Collateral/Class B rate (18) • 00 X 15 = . 00
1Si. Principal Tax Due Cly)= 252.92
~^ PAYMENT~~
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
12-30-2008 CD010705 4.13- 267.92
TOTAL TAX CREDIT 263.79
BALANCE OF TAX DUE 10.87CR
INTEREST AND PEN. .00
TOTAL DUE 10.87CR
* IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. 1
FOR. CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
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