HomeMy WebLinkAbout01-08-10NOTICE OF INHERITANCE TAX Pennsylvania ~
AP_PRAISEMENT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES n DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~',~ ~ I Ord ~~pU,~TIONS AND ASSESSMENT OF TAX REV-1547 EX AFP C12-09)
PO BOX 280601 "'
HARRISBURG PA 17128-0601 '- -i ~-
~~.~~ ~. _I ~,.+. .,li ~...
DATE 12-28-2009
ZOO .~t~~ 'S P~ ~ ~ I ~} ESTATE OF BRINK LUCY L
DATE OF DEATH 10-21-2004
CLERK CT FILE NUMBER 21. 08-0220
~R~~a~~~ ~ C~%URT COUNTY CUMBERLAND
H ANTHONY ADAM
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~~~~ ACN 101
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STE 3
- APPEAL DATE: 02-26-2010
49 W ORANGE ST (See reverse side under 06jections)
SHIPPENSBURG PA 17257 Amount Renitted~
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
REV-1547 EX AFP (12-09~ NOTICE OF INHERITANCE _
_
TAX APPRAISEMENT, ALLOWANCE OR
-
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT
OF TA)~
ESTATE OF: BRINK LUCY LFILE N0 .:21 08-0220 ACN: 101 DATE: 12-28-2009
TAX RETURN WAS: (X) ACCEPTE D AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) ,OO credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) 20,000.00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) .00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 20,000.00
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q) 5.761.73
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 1,408.27
11. Total Deductions C11) 7, 170.00
12. Net Value of Tax Return C12) 12,830.06
13. Charitable/Governmental Bequests; Non-elected 911 3 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) _ 12,830.06
NOTE: If an assesswent was issued previously,
reflect figures that include the total
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
lines 14, 15 and/or 16,.17, 18 and 19 will
of ALL returns assessed to date.
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
(15) .00 X
(16) 1 .80.06 X
(17) _ 00 X
(18) . 00 X
00 = .00
045 = 577.35
12 = .00
15 = .00
(19)= 577.35
rnrnen~ REGEiPT DISCOUNT C+) I AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
07-07-2009 CD011452 154.95- 739.83
TOTAL TAX PAYMENt 584.88
BALANCE OF TAX DU!E 7.53CR
INTEREST AND PEN; .00
TOTAL DUE 7.53CR
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CRE1pIT" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS