HomeMy WebLinkAbout06-19-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
f_,_ . ,,.r~ ,,, ~ r ., ,-
i';. 'NO1fI~E OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ,, ~I~gISENEN,~. ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION '_~.~i~,~ ~ ~-OFw'DEL1fUCF~FONS AND ASSESSMENT OF TAX
PO BOX 280601 REV-1547 EX AFP (01-09)
HARRISBURG PA 17128-0601
?Q~9 JU~1 19 PM 2~ ~ ~ DATE 06-15-2009
ESTATE OF KERIN MARIAN T
~~~~(lr DATE OF DEATH 05-22-2008
O~P~n~~'~ v~~RT FILE NUMBER 21 08-0773
~ ~:~'!": t~;F-. ~.,n COUNTY CUMBERLAND
JENNIFER B HIPP ACN 101
BOGAR 8~ HIPP APPEAL DATE: 08-14-2009
1 W MAI N ST (See reverse side under Objections)
SHIREMANSTOWN PA 17011 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALON_6 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 KERIN MARIAN T FILE N0. 21 08-0773 ACN 101 DATE 06-15-2009
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) (L) .00 NOTE: To insure proper
C2) .00 credit to your account,
2. Stocks and Bonds (Schedule B) submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .00 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) 13,825.16
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) C7) 4,572.42
cB) 18,397.58
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: 3,158.96
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 55.4 62 .29
~
11. Total Deductions C11) ~+S • 671
40,223.67-
12. Net Value of Tax Return C12) .00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedu le J) (13)
40,223.67-
14. Net Value of Estate Subject to Tax
c14)
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 assess ed to date.
ASSESSMENT OF TAX: Op 00 . 00
15. C15)
Amount of Line 14 at Spousal rate ,
00 =
X
045
.00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) . .
X 00
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 .
. C19)= .00
19. Principal Tax Due
IA1C l:Kt1J1IJ•
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
~ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REpUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)