HomeMy WebLinkAbout08-14-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
- ~ `~ ° ' '.. AfbTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES APPRAIS,EMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ; ~ i ,.' f ~, ;~;~ p~' DEDUCTIONS AND ASSESSMENT OF TAX
Po Box 2ao6o1 ~ ~-
HARRISBURG PA 17128-0601 REV-1547 EX AFP CO1-09)
~Q~~ ~~,}~ ~ t} ~ ~~, f ~ DATE 08-10-2009
ESTATE OF GUISE DOROTHY R
C~.E~~'{ ~F DATE OF DEATH 12-21-2008
Q~P~75 ~~~~~ F I L E NUMBER 21 0 8 -12 91
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~~~~~'~ ~~ COUNTY CUMBERLAND
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ROGER W GUISE ACN 101
925 CLY RD APPEAL DATE: 10-09-2009
YORK HAVEN PA 17370 (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 CO1-09~ NOTICE OF INHERITANCE -----------------------------
TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCT IONS AND ASSESSMENT OF TAX
ESTATE OF GUISE DOROTHY R FILE N0. 21 08-1291 ACN 101 DATE 08-10-2009
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. Real Estate (Schedule A) C1) .0 0 NOTE: To insure proper
2. Stocks and Bonds (Schedule B) C2) 4,7 2 9.4 0 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedul e C) C3) .0 0 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) .0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Sche dule E) C5)___ 4,879.07
6. Jointly Owned Property (Schedule F) C6) 89, 740.10
7. Transfers (Schedule G) (7) .0 0
8. Total Assets (g) 99, 348.57
APPROVED DEDUCTIONS AND EXEMPTIONS:
5,628 .73
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 3,581 .6 7
11. Total Deductions C11) 9.71.0.40
12. Net Value of Tax Return C12) 90, 138.17
13. Charitable/Governmental Bequests; Non-elected 9113 Trus ts (Schedule J) C13) 5 0 0.0 0
14. Net Value of Estate Subject to Tax C14) 89, 638.17
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:
15. Amount of Line 14 at Spousal rate C15) • 00 X 00 _ . 00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 89, 638.17 X 045 = 4, 033.72
17. Amount of Line 14 at Sibling rate C17) •0 0 X 12 _ .0 0
18. Amount of Line 14 taxable at Collateral/Class B rate C18) •0 0 X 15 _ .0 0
19. Principal Tax Due (19)= 4, 033.72
TAY f DCIITTC.
A M NT
DATE RECEI T
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
03-20-2009 CD011025 201.69 4,033.72
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX CREDIT 4,235.41
BALANCE OF TAX DUE 201.69CR
INTEREST AND PEN. .00
TOTAL DUE 201.69CR
C IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)