HomeMy WebLinkAbout07-06-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
•- ~, yAT,LCE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES '=i /~PPRA~~E~MI~NT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION r.9F'1~EDUGTIONS AND ASSESSMENT OF TAX
PO BOX 280601 r ~,~ C`~ `;~ „...
HARRISBURG PA 17128-0601
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MILDRED AUGHENBAUGI~~~~~,~~ ~Vr
400 HIGHWAY 1283
LORIS SC 29569
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 CO1-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HAWBALER HELENA FILE N0. 21 08-1234 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)
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
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
REV-1547 EX AFP CO1-09)
NOTE: Ta insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
~$) 9,019.97
C9)
1,195.26
clo) 593.26
(11) 1.788.52
c12) 7,231.45
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax C14) 7,231.45
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 00 = . 00
c16) 7,231.45 X 045 _ 325.41
cln • 00 X 12 = . 00
c1B) .00 X 15 .00
c19)= 325.41
~^ PAYMENT~v
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
01-26-2009 CD010817 16.27 325.41
TOTAL TAX CREDIT 341.68
BALANCE OF TAX DUE 16.27CR
INTEREST AND PEN. .00
TOTAL DUE 16.27CR ,
* IF PAID AFTER DATE INDICATED, SEE REVERSE C IF TOTAL DUE IS LESS THAN 81, NO PAYMENT IS REQUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
cl) .00
c2) .00
c3) .00
c4) .00
c5) 9 , 019.97
c6) .00
I7) .00
DATE 06-29-2009
ESTATE OF HAWBALER HELENA
DATE OF DEATH 11-30-2008
FILE NUMBER 21 08-1234
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 08-28-2009
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0: