HomeMy WebLinkAbout01-08-10NOTICE OF INHERITANCE TAX Pennsylvania ~
1., ,. J~iPP,.i~,p-#~N~, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES ~.. DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION `-•~'`IyEI~ ~'~DNS AND ASSESSMENT OF TAX REV-1547 EX AFP C12-09)
PO BOX 280601 ~ t
HARRISBURG PA 17128-0601 i ~ .i { ~ ~ ~ '_ ~ t . ,_„
?010 JAN -8 Pii i ~ i 7
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BENJAMIN WALLACE~+~i~,~n~-F,_,nu,,{4_, ~J.~ P~
PRATZ ~ WALLACE
24 N 32ND ST
CAMP HILL PA 17011
DATE 12-28-2009
ESTATE OF STUBLJAR JOSEPH G
DATE OF DEATH 03-05-2009
FILE NUMBER 21 09-0383
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 02-26-2010
(See reverse side under Objections)
Awount Rewitted
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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E -1547 EX AFP C12-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: STUBLJAR JOSEPH GFILE N0.:9) no_ntRZ ecu. ini Herr. ,~_~e .,.,.,..
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
APPRAI SED 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) ,00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .00 submit the upper portion
4.
Mortgages/Notes Receivable (Schedule D)
~4)
.00 of this form with your
tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 21,111.02
6. Jointly Owned Property (Schedule F) ~6) .00
7. Transfers (Schedule G) ~7) .00
8. Total Assets c8) 21 ,111.02
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) ~q) 105.00
L0. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .00
11. Total Deductions X11) 105.00
12• Net Value of Tax Return (12) 21,006.02
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 21,006.02
NOTE: If an assesswent 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 C15) .00 X 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 71 . X06. 07 x 045 = 945.27
17. Amount of Line 14 at Sibling rate (17) .OD X 12 ~ .00
18. Amount of Line 14 taxable at Collateral/Class B ra te (18) .00 X 15 = .00
19. Principal Tax Due (19)= 94 5.27
TAX CREDITS:
rs„ neni Kt1a1Y1 DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
06-30-2009 (0011425 .00 945.27
TOTAL TAX PAYMENT 945.27
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.