HomeMy WebLinkAbout07-10-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
_NQTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES j~'p`d~RI~ISE~MLNT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION `'' t:"OF,DE,D~CTIONS AND ASSESSMENT OF TAX
PO BOX 28D601 ,"u
HARRISBURG PA 17128-D601 I ~ J~ ~ .._ REV-1547 EX AFP (01-09)
DATE 07-06-2009
~~~~ .lU~ ~ O t' I • ~~ ESTATE OF DILLOW ROGER L
DATE OF DEATH 06-11-2008
^ ~"' ~r FILE NUMBER 21 08-0701
V~~t`li! .iri~
ORP~aAr~ S vl~'~~T COUNTY CUMBERLAND
TIFFANY BURKET CI~C,., -~ _ ~_ , QA ACN 101
170 CHARLES DR ~ APPEAL DATE: 09-04-2009
WINDSOR PA 17366 (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 (01-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF DILLOW ROGER L FILE N0. 21 08-0701 ACN 101 DATE 07-06-2009
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
(1) .00
(2) .00
(3) .00
(4) .00
(5) 3,811.00
(6) .00
(7) .00
(B)
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
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
3,810.97
APPROVED DEDUCTIONS AND EXEMPTIONS: 3,083.41
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions (11) 3, 083.41
12. Net Value of Tax Return (12) 727.59
13. Charitable/Governmental Bequests; Non-elected 9113 Trus ts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 727.56
NOTE: If an assessment was issued previously, l ines 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) • 00 X 045 = . 00
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) 727 • 56 X 15 = 109.13
19. Principal Tax Due (19)= 109.13
~^ PAYMENT•~
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
02-20-2009 CD010925 .00 109.13
TOTAL TAX CREDIT 109.13
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE C IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. ~/~
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DU~/'rj/
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