HomeMy WebLinkAbout07-10-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'r1' `-`~ ~ ~~~~ ! I~T~CrE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES `~ 'A~pgAIS~E;NfEN,7, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION =r'-- ,,QF DE~1!UCT;IONS AND ASSESSMENT OF TAX
PO BOX 280601 '' '- - '
HARRISBURG PA 17128-0601 REV-1547 EX AFP (01-09)
~~~9 ~~~ ~ ~ ~ ~; ~€j DATE 07-06-2009
ESTATE OF YUSCIC MICHAEL J
r •,,,~~~ DATE OF DEATH 02-04-2008
l.i~~~`ii1 FILE NUMBER 21 08-0145
4R~~~rr~ S ~~`U~T
COUNTY CUMBERLAND
KELLY YURCIC CUr~r ~'^ ~ ~~ ~ ~~'' ACN 101
16 CLEARVIEW DR APPEAL DATE: 09-04-2009
LEBANON PA 17042 (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 _ ~ R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS ~ _ ---------------
REV-1547 EX AFP CO1-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF YUSCIC MICHAEL J FILE N0. 21 08-0145 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
cl) .00
c2) .00
c3) .00
c4) .00
c5) .00
c6) .00
~7) .00
c8)
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
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
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
c13) . 00
c14) .00
.00
.00
C9)
clo) .00
(11) -~~
c12) . 00
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:
• 00
00
. 00
15. Amount of Line 14 at Spousal rate C15) X =
16. Amount of Line 14 taxable at Lineal/Class A rate C16) • 00 X 045 = . 00
17. Amount of Line 14 at Sibling rate (17) •00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B ra te C18) •00 X 15 = .00
Due
l T
i
i
P (19)= .00
19. pa
ax
nc
r
IMA V~a.YL1.a•
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .DO
INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER DATE INDICATED, SEE REVERSE C IF TOTAL DUE IS LESS THAN $1, 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 INSTRUCTIONS.)