HomeMy WebLinkAbout06-19-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
_ _ ~__i, ~-~ f19TICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~~„j _,_ _,p~~R~ISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION _(]~ DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 } ,.. ..
HARRISBURG PA 17128-0601 " .L.,
2fl09 JUG 19 ~~ 2' 22
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SHEILA M BLOSSEf~~, -' '`' ,~;~ Fri
12 OAK RIDGE RD
PO BOX 48
NEW KINGSTOWN PA 17072
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 (O1-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF SLOBBER JR DONALD L FILE N0. 21 08-1075 ACN 101 DATE 06-15-2009
TAX RETURN WAS: C 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
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
~$) 8,325.54
APPROVED DEDUCTIONS AND EXEMPTIONS: 3,033.43
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 14 6.92
11. Total Deductions C11) 3 . 1 AD _ 35
12. Net Value of Tax Return (12) 5,145.19
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 5, 145.19
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:
•00 00 .00
15. Amount of Line 14 at Spousal rate C15) X =
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 5, 145.19 X 045 = 231 .54
17. Amount of Line 14 at Sibling rate C17) .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)= 231.54
TAY f`DCTTTC.
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
01-15-2009 CD010768 11.58 231.54
TOTAL TAX CREDIT 243.12
BALANCE OF TAX DUE 11.58CR
INTEREST AND PEN. .00
TOTAL DUE 11.58CR
^ IF PAID AFTER DATE INDICATED, SEE REVERSE C IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
REV-1547 EX AFP (01-09)
DATE 06-15-2009
ESTATE OF SLOBBER JR DONALD L
DATE OF DEATH 10-19-2008
FILE NUMBER 21 08-1075
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 08-14-2009
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
cl) .00
I2) .00
c3) .00
c4) .00
c5) 8,325.54
c6) .00
~7) .00