HomeMy WebLinkAbout01-08-10~ °rC~ `;- {NOTICE OF INHERITANCE TAX Pennsylvania ~
~,~-n~ "' APe ~'~SfEMENT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES `" ~L. DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~ `'~~~`, ~~;,~r~'-DEDUCTIONS AND ASSESSMENT :~F TAX REV-1547 EX AFP C12-09)
PO BOX 280601
HARRISBURG PA 17128-0601
201 JAN -B P~ ~' ~ ~
DATE 01-04-2010
ESTATE OF BRINKERHDFF FLORENCE H
Ci..~.t~u'~~%~ DATE OF DEATH 05-19-2009
C~~~L~~~~, L~n~~~~~` FILE NUMBER 21 09-0483
A~~G~%i~_0.~j-~v, '~-~~~--'~~ COUNTY CUMBERLAND
SHIRLEY A LED/`'''r' ACN 101
214 KENNEDY CT APPEAL DATE: 03-05-2010
HANOVER PA 17331 (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 ~
REV-1547 EX AFP (12-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAB
ESTATE OF: BRINKERHOFF FLORENCE HFILE N0.:21 09-0483 ACN: 101 DATE: 01-04-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) •UQ NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) •Qd credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .OQ submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) •QQ tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 31,444.09
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets cs] 31.444.09
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q)_ 11.617.4 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) (LO] 360.8b
11. Total Deductions C11) 11,978.26
12. Net Value of Tax Return cl2] 19,465.83
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) 19,465.83
NOTE: If an assessment 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:
cls) .00 x 00 = .00
c16) i9.46~.s~ x 045 = 875.96
cln _ oo x 12 = .00
cls] .00 x 15 = .00
(19)= 875.96
rnrnon~ KCla lYl DISCOUNT C+) I AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
n7-77_9n00 f`nn77Gno ~~ o.. ..__ ._ i
TOTAL TAX PAYMENT 875.97
BALANCE OF TAX DUCE .O1CR
INTEREST AND PEN. .00
TOTAL DUE .O1CR
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREnIT" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.