HomeMy WebLinkAbout07-06-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'''~ '~I~A!!?~PCE~^~OF ~iNHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES .° ~q~p-~A~~S'EI4~Nt~,~Y-ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION C r ~.F;' T~UGTI~,ONSI~~AND ASSESSMENT OF TAX
PO BOX 280601 ~ ~-'' 1 i:._,:
HARRISBURG PA 17128-0601 REV-1547 EX AFP (01-09)
~~~~~~ ~~ ~~~~~ ~~ DATE 06-29-2009
ESTATE OF CRAWFORD MARY C
~~~ ~F DATE OF DEATH 08-05-2008
FILE NUMBER 21 08-0831
~~~~E~ Cr~~ PA. ACNNTY l OIBERLAND
JAN M WILEY
THE WILEY GROUP APPEAL DATE: 08-28-2009
13o W CHURCH sT (See reverse side under Objections)
DILLSBURG PA 17019 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 E- ______________
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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 CRAWFORD MARY C FILE N0. 21 08-0831 ACN 101 DATE 06-29-2009
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) C1) .00 NOTE: To insure proper
2. Stocks and Bonds (Schedule B) C2) ,00 credit to your account,
.00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 171,60 0.32
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets c8) 171,600.32
APPROVED DEDUCTIONS AND EXEMPTIONS: 10,821.45
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)
10. Debts/Mortgage Liabilities/Li.ens (Schedule I) C10) 5 01.20
11. Total Deductions (11) 11 .3?9.65
12. Net Value of Tax Return C12) 160,277.67
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax ClG) 160,277.67
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:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
C15)
.00 X
c16) 160,277.67 X
C17) • 00 x
ClB)
.00 x
00 _ .00
045_ 7,212.50
12 _ .00
15 _ .00
C19)= 7,212.50
INA VRGLi1J:
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
10-29-2008 CD010469 315.00 5,985.00
02-03-2009 CD010859 .00 912.50
I V I AL I AJ- I.RCLl 1
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
7,212.50
.00
.00
.00
~ 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.)