HomeMy WebLinkAbout01-08-10.~:esT~ OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES .-~,rYKF~F~~lA~ISEM~`N;~, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION QF U,EDOGT~ONS AND ASSESSMENT OF TAX
PO BOX 280601 `.°' , ~ t-' ` ''
HARRISBURG PA 17128-06D1
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-09)
~~0 ~Q~ -$ ~ ~~'O DATE 01-04-2010
~ ESTATE OF BRUBAKER FRANCES L
~~~ JF
G, DATE OF DEATH 03-15-2009
..
(y's~'~~t~,~
~~'~ FILE NUMBER 21 09-0509
~~
,
a~
~~ ~ p~
i ~ ~ U
MBERLAND
NTY
~~~
MARVIN BESHORE v
`' l
O
ACN
130 STATE ST APPEAL DATE: 03-05-2010
PO BOX 946 (See reverse side under Objections)
HARRISBURG PA 17101-0946 Aoount ReB~itted
MAKE CHECK PAYABLE AND 'R EMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT MOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1547 EX AFP C12-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANICE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TALC
ESTATE OF: BRUBAKER FRANCES LFILE N0 .:21 09-0509 ACN: 101 DATE: 01-04-2010
TAX RETURN WAS: CX) 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) (2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .OOI submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 53,133.28'.
6. Jointly Owned Property (Schedule F) (6) .00'
7. Transfers (Schedule G) (7) .00
e. Totai Assets C8) 53,133.28
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (g) 5.915.50
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 6.267.7
11. Total Deductions C11) 12,183.25
12. Net Value of Tax Return (12) 40,950.03
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts [Schedule J) C13] .00
14. Net Value of Estate Subject to Tax (14) 40,950.03
NOTE: If an assess:eent 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
TAX CREDITS:
C15) .00 X
(16) 4 D .9~0. [I~ X
C17) .OD X
(18) . 00 X
0'0 = .00
045 = 1,842.75
12 = .00
15 = .00
(19)= 1,842.75
r,~rneni Kt~tiri DISCOUNT C+) I AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
n~-79-9nn0 fnn11ZC7 on ._~ -. .. .. .. .. ~
INTEREST IS CHARGED THROUGH
AT THE RATES APPLICABLE AS
REVERSE SIDE OF THIS FORM
01-19-2010
OUTLINED ON THE
TOTAL TAX PAYMENT' 1,789.47
BALANCE OF TAX DUB 53.28
INTEREST AND PEN. .23
TOTAL DUE 53.51
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CRELIIT" CCR), YOU MAY BE D
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
- - i