HomeMy WebLinkAbout09-18-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
' ~ II C '-~` NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES J _ AP~'RAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE= TAX DIVISION _ ~. ~~, 'OF DEDUCTIONS AND ASSESSMENT OF TAX
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HARRISBURG PA 17128-0601
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ROBERT CLOFINE~~~•ESQ
120 PINE GROVE COMMONS
YORK PA 17403-5151
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c2) .00
c3) .00
c4) .00
c5) 45 , 598.56
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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 GOTTSHALL MADELINE S FILE N0. 21 08-0589 ACN 101 DATE 09-15-2009
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGEB
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. Charitable/Governmental Bequests;
14. Net Value of Estate Subject to Tax
REV-1547 EX AFP CO1-09)
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
~$) 45, 598.56
5,324.62
(9)
clo) 44.925.25
C11) S0.?49.87
cl2) 4,651.31-
Non-elected 9113 Trusts (Schedule J) C13) .00
c14) 4,651.31-
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
16. ,Amount of Line 14 taxable at Lineal/Class A rate
17. ,Amount of Line 14 at Sibling rate
18. ,Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAY rocnrrc.
DATE 09-15-2009
ESTATE OF GOTTSHALL MADELINE S
DATE OF DEATH 02-15-2008
FILE NUMBER 21 08-0589
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 11-14-2009
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
(15)
C16)
.00 X OD =
.00 X
c17) • 00 x
c18) . 00 x
.00
045 _ .00
12 _ .00
15 _ .00
c19)= .00
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
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 $1, NO PAYMENT IS REQUIRED. I r~
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE \\\'~
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