HomeMy WebLinkAbout07-24-09..r ~-,.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
~- , - ;.-;N~T CE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ,~{~1~'PRIIISE~IET, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION .,
PO BOX 280601 ~„~' i '..OF ~DE'0~1Crt.LONS AND ASSESSMENT OF TAX
HARRISBURG PA 17128-0601 ~ ``~"~~`` ~ ~ ~ ~`~i ~ z ~~
2~9 J~aL 2~+ P 1 ~ 20
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ALICE J TILLGER ESp !! ~~~;' ' '~'` !~i !`''(;1, FA,
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645 E BUTLER AVE
NEW BRITAIN PA 18901
REV-1547 EX AFP CO1-09)
DATE 07-20-2009
ESTATE OF TSCHOP SAMUEL C
DATE OF DEATH 05-26-2008
FILE NUMBER 21 08-0623
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 09-18-2009
(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 ~
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REV-1547 EX AFP COl-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF TSCHOP SAMUEL C FILE N0. 21 08-0623 ACN 101 --------------
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OR
DATE 07-20-2009
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) .D D NOTE: To insure proper
2. Stocks and Bonds (Schedule B) C2) ,0 Q credit to your account,
0 0 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) •0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 9,1 5 8.4 6
6. Jointly Owned Property (Schedule F) _ C6) .0 0
7. Transfers (Schedule G) C7) 75, 030.17
8. Total Assets C8) 84,188.63
APPROVED DEDUCTIONS AND EXEMPTIONS:
12,370.47
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 4,9 7 0 .0 0
11. Total Deductions (11) 1.7.340 _ 47
12. Net Value of Tax Return C12)
66,848.16
13. Charitable/Governmental Bequests; Non-elected 9113 Trus ts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax C14) 66,848.16
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) 66, 848.16 X 045 = 3, 008.17
17. Amount of Line 14 at Sibling rate C17) • 00 X 12 ~ . 00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) •0 0 X 15 _ .0 0
19. Principal Tax Due C19)= 3, 008.17
TAY f QCTITTC.
A N
DATE REC T
NUMBER SCOUNT C+
INTEREST/PEN PAID C-)
AMOUNT PAID
02-24-2009 CD010937 .00 3,008.17
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX CREDIT 3,008.17
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
C IF TOTAL DUE IS LESS THAN ~1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DU
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)