HomeMy WebLinkAbout09-18-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
-. •~<~ ' NpT~I~E OF INHERITANCE TAX
BUREAU OF' INDIVIDUAL TAXES ~r' dppRATS~~TENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE: TAX DIVISION ;0'F. DEDUCti;IONS AND ASSESSMENT OF TAX
PO BOX 280501 ~_ ~~'~~ ~ ~ • jl --
HARRISBURG PA 17128-0601 -'-~'"~'" ~~ REV-1547 EX AFP (01-09)
~Q~g ~EP ~ ~ ~~ ~'~: j ~ DATE 09-15-2009
ESTATE OF THOMPSON ELIZABETH G
DATE OF DEATH 01-05-2009
(~1_EP~~~ f-~' FILE NUMBER 21 09-0060
OTC lir ~~ ~' `'~~~,~~ COUNTY CUMBERLAND
RALPH H WRIGHT i;.,'"~ _ ~-1 ' ~~' ACN 101
JOHNSON ETAL CL APPEAL DATE: 11-14-2009
301 MARKET ST (See reverse side under Ohjections)
l_EMOYNE PA 17043 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~l RETAIN LOWER PORTION FOR YOUR RECORDS ~
-------------------------------------------------------------------------------------------
REV-1547 EX AFP (01-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF THOMPSON ELIZABETH G FILE N0. 21 09-0060 ACN 101 DATE 09-15-2009
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) 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) C2) ,00 credit to your account.,
submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 6,55 9.68
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) (7) .0 0
8. Total Assets (g) 6,559.68
APPROVED DEDUCTIONS AND EXEMPTIONS:
643 .10
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 2 33 .0 2
11. Total Deductions (11) 676.12
12. Net Value of Tax Return (12) 5, 683.56
13. Charitable/Governmental Bequests; Non-elected 9113 Trus ts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 5, 683.56
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 (15) • 00 X 00 = . DO
16. Amount of Line 14 taxable at Lineal/Class A rate (16) •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) 5,683.56 X 15 = 852.53
19. Principal Tax Due (19)= 852.53
rev rncnrrc.
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
04-03-2009 CD011075 42.63 809.90
^ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX CREDIT 852.53
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
A RFFIINn CFF RFVFRCF CTnF nF TNTS FARM FnR iNST RIIrTTnNS.]