HomeMy WebLinkAbout09-08-09 COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES `' iri'C °" ` r'rTQi -C,~ OF INHERITANCE TAX
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INHERITANCE TAX DIVISION .A@PI
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; ALLOWANCE OR DISALLOWANCE
PO BOX 280601 `'-':'; ;~;'pRrD~~~1CTIONS AND ASSESSMENT OF TAX
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HARRISBURG PA 17128-0601 _Uv ~'-` ~ `~
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REV-1547 EX AFP CO1-09)
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ZQ~9SEf -8 AM 9' 2~ DATE 08-31-2009
ESTATE OF RASMUSSEN ROBERT H
~~~ ~ DATE OF DEATH 01-16-2009
OR~~~ FILE NUMBER 21 09-0164
HAROLD S IRWIN III COUNTY CUMBERLAND
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IRWIN LAW OFC ..
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ACN 1 D 1
APPEAL DATE: 10-30-2009
64 S P ITT ST (See reverse side under Objections)
CARLISLE PA 17013 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 F- _ _
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REV-1547 EX AFP (01-091 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF RASMUSSEN ROBERT H FILE N0. 21 09-0164 ACN 101 DATE 08-31-2009
TAX RETURN WAS: (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
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 Ch
C1) .00 NOTE: To insure proper
C2) .00 credit to your account,
C3) .00 submit the upper portion
of this form with your
c4) 42, 728.13 tax payment.
c5) .00
c6) .00
c7) .00
ca) 42, 728.13
c9) 13, 438.08
clo) .00
(11) 13.438 OR
c1z) 29,290.05
• aritable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax C14J 29,290.05
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.
A
SSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate (15) 29,290.05 X
16. Amount of Line 14 taxable at Lineal/Class A rate C16) .00 X
17. Amount of Line 14 at Sibling rate I17) .00 X
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X
19. Principal Tax Due
TE
INTEREST/PEN PAID C-)
AMOUNT PAID
00 _ .00
045 _ . 00
12 _ .00
15 _ .00
c19)= .00
TOTAL TAX CREDIT .00
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" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)