HomeMy WebLinkAbout07-10-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
L _~. n ,_.,~~ ,~.Q7LGE ,AF. INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ,, ~?FRg3$~,MI:Nfi,IA'LLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION -. r:~flF-.D~DUGTIO~fS AND ASSESSMENT OF TAX
PO BOX 280601 i i -
HARRISBURG PA 17128-0601 ' "" " "' REV-1547 EX AFP (01-09)
~~~9.~U~. ~~ ~ ~_ ~~ DATE 07-06-2009
U ESTATE OF HAMMACHER ARCHIE F
DATE OF DEATH 07-03-2007
~~~~~~ ~ _ FILE NUMBER 21 07-0657
QF~P~Ai`~`S C;~'U~+ COUNTY CUMBERLAND
NORA F BLAIR C~)ty' - vE `: ~, ~:, ACN 101
5440 JONESTOWN RD APPEAL DATE: 09-04-2009
PO BOX 6216 (See reverse side under Objections)
HBG PA 17112-0216 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 (01-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HAMMACHER ARCHIE F FILE N0. 21 07-0657 ACN 101 DATE 07-06-2009
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
I1) 65, 000.00
~2) 5,231.63
c3) .00
c4) .00
~5) 16,778.81
I6) 26, 193.99
~7) .00
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
ce) 113, 204 .43
APPROVED DEDUCTIONS AND EXEMPTIONS: 19,493.11
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 6 6.19 9.85
11. Total Deductions I11) 85.69?.96
12. Net Value of Tax Return C12) 27,511.47
.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13)
14. Net Value of Estate Subject to Tax C14) 27,511.47
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 (15) • 00 X 00 = . 00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 1 , 817.48 X 045 = 81 .79
17. Amount of Line 14 at Sibling rate ~i7) 25, 693.99 X 12 = 3, 083.28
18. Amount of Line 14 taxable at Collateral/Class B rate C18) •00 X 15 = .00
19. Principal Tax Due C19)= 3, 165.07
~^ PAYMENT~v
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
02-11-2009 CD010896 165.29- 3,330.36
BALANCE OF UNPAID INTEREST/PENALTY AS OF
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
02-12-2009 TOTAL TAX CREDIT 3,165.07
BALANCE OF TAX DUE .00
INTEREST AND PEN. 18.21
TOTAL DUE 18.21
C IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE~r
o REEIINn_ SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) ~~