HomeMy WebLinkAbout09-18-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
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BUREAU OIF INDIVIDUAL TAXES APpRAISEMEf+~i AL.LDW%iNCEf• O& .D3SALLOWANCE
INHERITANCE TAX DIVISION OF DEDUCT-d'QNS A DA•S8i:SSNENT OF TAX
PO BOX 280601 ~ ,„, ,
HARRISBURG PA 17128-0601 ~ REV-1547 EX AFP (01-09)
2~~'~ S~¢ J ~ t~TA~VOF DEARDORFF9 GEORGE E
~C. r~,DATE OF DEATH 07-08-2008
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~r~, ~ , ~ ,; ~, FILE NUMBER 21 08-0786
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C!'~;' ~ ~,•b~,~TY CUMBERLAND
CHARLES E SHIELDS III -AC1~''•`~. 101
6 CLOUSER RD APPEAL DATE: 11-14-2009
MECHANICSBURG PA 17055-9735 (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 CO1-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF DEARDORFF GEORGE E FILE ND. 21 08-0786 ACN 101 DATE 09-15-2009
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) (1) .00 NOTE: To insure proper
2. Stocks and Bonds (Schedule B) (2) ,00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
of thi s form with your
4. Mortgages/Notes Receivable (Schedule D) C4) .00 tax pa yment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 413.00
6. Jointly Owned Property (Schedule F) (6) 5, 096.42
7. Transfers (Schedule G) (7) 52, 024.96
8. Total Assets (g) 57,534.38
APPROVED DEDUCTIONS AND EXEMPTIONS:
2,181.40
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)
10, Debts/Mortgage Liabilities/Liens (Schedule I) C10) ~ 0 3.0
11. Total Deductions C11) ;.384.4
12. Net Value of Tax Return (12) 54, 149.96
13. Charitable/Governmental Bequests; Non-elected 9113 Trus ts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 54, 149.96
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 C15) • 00 X 00 _ . 00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 54,149.96 X 045 = 2,436.75
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) •00 X 15 _ .00
19. Principal Tax Due (19) = 2,436.75
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~~`PAYMENT~v
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
04-07-2009 CD011088 .00 2,436.75
TOTAL TAX CREDIT 2,436.75
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER DATE INDICATED, SEE REVERSE ( 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 DUE
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