HomeMy WebLinkAbout09-08-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
j fir' i i ~ '>~,~OtIFC~E OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES _,~` . qp R.AIS~EM~IJT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION
PO BOX 280601 +`'_'.a!^.F~C~~ ~ D~D.UGTIONS AND ASSESSMENT OF TAX
HARRISBURG PA 17128-D601
REV-1547 EX AFP CO1-09)
t1 p l [~
~~~3S~` "8 R~ 7' ~0, DATE 08-31-2009
ESTATE OF CHRISTENSEN KATHRYN L
C~~~ Q~ DATE OF DEATH 01-08-2008
O~'4 ~R~ FILE NUMBER 21 08-1170
GARY M FISSEL CiUIY~t:~.~+rv'-'J+ CQ., PA COUNTY CUMBERLAND
ACN 101
15813 BRETON BROOK ST APPEAL DATE: 10-30-2009
HUNTERSVILLE NC 28078 (See reverse side under Objections)
Amount Remitted- -1
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 F- ________
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REV-1547 EX AFP CO1-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF CHRISTENSEN KATHRYN L FILE N0. 21 08-1170 ACN 101 DATE 08-31-2009
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
RtJtKYAIlUIV I~uNGERNiNG 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
APPROVED DEDUCTIONS AND EXEMPTIONS:
(B) 8,239.05
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) $,264.35
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions C11) 8.~64.3~
12. Net Value of Tax Return (12) 25.30-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
c13) .00
(14) 25.30-
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 C15) .00 X 00 _ .00
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
19. Principal Tax Due 00
TAY f`RCnrrc. (19)= .
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
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 S1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE „o
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) pfJ/\,
(1) .00 NOTE: To insure proper
(2) .00 credit to your account,
C3) .00 submit the upper portion
of this form with your
(4) .00 tax payment.
c5) _ 8 , 239.05
c6) .00
n)_ .00