HomeMy WebLinkAbout08-31-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
' ""~~N~6TIGE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~ !-~ 'AP~RAfi`SEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~ ~ OF~~."DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 ~'~~,• •.; l Jti `~
WIRRIS9URG PA 17128-0601 REV-1547 EX AFP CO1-09)
L~~ ~~~ 3 ` P~ ~; ~~ DATE 08-24-2009
ESTATE OF CHARON DOREEN L
~~~~ ~~ DATE OF DEATH 01-18-2008
QU~~ FILE NUMBER 21 08-0443
(}RPNA~~`u u COUNTY CUMBERLAND
THOMAS E FLOWER CU~`R~~i ~.~~~~~ '~~•• ~~' ACN 101
SAIDIS ETAL APPEAL DATE: 10-23-2009
210 9 MARKET S T (See reverse side under Objections
CAMP HILL PA 17011 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 CHARON DOREEN L FILE N0. 21 08-0443 ACN 101 __
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OR
DATE ____________
8-24-2009
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) .0 0 NOTE: To insure proper
C2) ,Q 0 credit to your account,
2. Stocks and Bonds (Schedule B) submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) .0 0
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) 4 0 0.0 0
6. Jointly Owned Property (Schedule F) C6) .0 0
7. Transfers (Schedule G) C7) .0 0
Cg) 400.00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: 3,000.00
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .0 0
11 . Total Deductions (11) ; .40.0_._00
2, 600 . 00 -
12. Net Value of Tax Return t12) 'Q 0
13. Charitable/Governmental Bequests; Non-elected 9113 Trus ts (Schedule J) C13)
2,600.00-
14. Net Value of Estate Subject to Tax C14)
NOTE: If an assessment was issued previously, lines 14, 15 andtor 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
00
00
. OD
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 rate C18) •0 0 X 15 = .0 0
19. Principal Tax Due C19 )= .0 0
N J
DATE R C IPT
NUMBER ISCO N +)
INTEREST/PEN PAID C-) AMOUNT PAID
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX CREDIT .00
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.)
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