HomeMy WebLinkAbout09-18-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
_ _ _NQ~:ICE OF INHERITANCE TAX ~
BUREAU OF INDIVIDUAL TAXES ~ ~~ -', /~Pi~RRISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION '" ,-..OF--•D,EDUCTIONS AND ASSESSMENT OF TAX
PO BUX 280501
HARRISBURG PA 17128-0601 ~ '~ ~ ~~~ ~ ~~`' ' `~ "°
REV-1547 EX AFP (01-09)
~~~~ S~P `~ P ~~,~ ~~ DATE 09-15-2009
ESTATE OF GRIFFIE RUSSELL K
~~ ~~ii'~ r%F
Q~~ ~~r~ ~ ~^~~.~~r
HAROLD A EASTMAN ~l ~h.~
. PA.
PUHL ETAL
220 BALTIMORE ST
GETTYSBURG PA 17325
DATE OF DEATH 12-06-2007
FILE NUMBER 21 09-0001
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 11-14-2009
(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 GRIFFIE RUSSELL K FILE N0. 21 09-0001 ACN 101 DATE 09-15-2009
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) .00 NOTE: To insure proper
credit to your account,
2. Stocks and Bonds (Schedule B) (2) .00
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
13
14
Net Value of Tax Return
C3) .00
c4) .00
c5) 5,780.73
c6) .00
submit the upper portion
of this form with your
tax payment.
c7) .00
~$) 5, 780.73
10,098.00
C9)
clo) .00
(11) 10.098.00
cl2) 4,317.27-
Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
Net Value of Estate Subject to Tax (14) 4,317.27-
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.
ASSESSNENT 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 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 rate (18) •00 X 15 _ .00
19. Principal Tax Due
TAX ['RFi1TTC•
c19)= .00
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 rY
IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
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