HomeMy WebLinkAbout06-26-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'~ ;NOTICE OF INHERITANCE TAX iI
BUREAU OF INDIVIDUAL TAXES ~,APPRAISEMENT, ALLOWANCE OR DISALLOWANCE i,
INHERITANCE TAX DIVISION GF:DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 _ .- ' `_! i "'' ' `
REV-1547 EX AFP CO1-09)
HARRISBURG PA 17128-0601
~~~~ ~~~ ~~ ~~ is ~ `~ DATE 06-22-2009
ESTATE OF SIPE CHARLOTTE E
~~~~~( OF DATE OF DEATH 09-19-2008
FILE NUMBER 21 08-1036
~P~~ ~ ~flU~~ COUNTY CUMBERLAND
GEORGE H EAGER CtJM,~-~- A. ACN 101
1347 FRUITVILLE PIKE APPEAL DATE: 08-21-2009
LANCASTER PA 17601 (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 _ --~ __RETA_IN LOWER POR_TION_FOR_YOUR_RECORDS_ 4~ ___________________
REV-1547 EX AFP CO1-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
rcrwrc nr S7PE CHARLOTTE E FILE N0. 21 08-1036 ACN 101 DATE 06-22-2009
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
(1) 115,5 00.00 NOTE: To insure proper
1. Real Estate (Schedule A) 00 credit to your account,
2. Stocks and Bonds (Schedule B) (2) . submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) I3) '00 of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 4,182.28
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) I7) .00
119,682.28
8. Total Assets fig)
APPROVED DEDUCTIONS AND EXEMPTIONS: 20,641.51
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 371.27
11. Total Deductions (11) 1 .0]2.78
98,669.50
12. Net Value of Tax Return
clz)
2,000.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trus ts (Schedule J] (13)
96,669.50
14. Net Value of Estate Subject to Tax
c14)
NOTE: If an assessment was issued PrevfouslY, lines 14, 15 and/or 16, 1 7, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX: 00 00 .00
14 s
l
t S rate C15) . X =
15. Amount of Line pou
a
a 669
50
96 045 4,350.13
Amount of
16 Line 14 taxable at Lineal/Class A rate (16) .
, X =
.
Amount of
17 Line 14 at Sibling rate (17) .00 X 12 = .00
.
Amount of
18 Line 14 taxable at Collateral/Class B rate C18) .00 X 15 = .00
. 4,350.13
19. Principal Tax Due cl9)=
IA)l KtLI I,'
P YMENT
DATE
RECEIPT
NUMBER
DISCOUNT +)
INTEREST/PEN PAID C-)
AMOUNT PAID
12-17-2008 CD010658 217.51 4,132.62
IUTAL IAA ~.ICCUaI
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
4,350.13
.00
.00
.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" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIDNS.)