The URL can be used to link to this page

Home My WebLink About12-18-09BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 NOTICE OF INHERITANCE TAX App~~IS~~~`r',.~ ~.~tpNCE OR DISALLOWANCE 0~ b~3L1k1C~ i~LONI$~ ~ D ASSESSMENT OF TAX ~.. _ ..... to ~ ~ r i! ,.v Pennsylvania ~ DEPARTMENT OF REVENUE REY-1547 EX AFP C10-09) 2009 DEC 18 ~~ ~~; 3! DATE 12-14-2009 ESTATE OF BRECHBILL RAY C e~~K r~ DATE OF DEATH 03-19-2008 OR~~~,`~ ~' FILE NUMBER 21 08-0522 CCUI~T CUMBERLAND ~,~,~~~~='~.."+~~t~ ~f.t~}., PA ACNNTY 101 GLEN BRECHBILL 59 OAK AVENUE APPEAL DATE: 02-12-2010 TENAFLY NJ 07670 (See reverse side under©bjeetions) Aeount Restitted r -~ MAKE CHECK PAYABLE AND ptEMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALON_6 THIS LINE _ ~ __RETAIN_LOWER_PORTION_FOR_YOUR_RECORDS_ 4'.___________________ REV-1547 EX AFP C10-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLDWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF: BRECHBILL RAY (FILE N0.:21 08-0522 ACN: 101 DATE: 12-14-2009 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) .00' NOTE: To ensure proper (2) .00 credit to your account, 2. Stocks and Bonds (Schedule B) submit the upper portion 3. Closely Held Stock/Partnership Interest (Schedule C) (3) 'DD' 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) 123,039.11', 6. Jointly Owned Property (Schedule F) (6) .00'. 7. Transfers (Schedule G) (7) .00,_ 8. Total assets (B) 123.039.11 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 12,198.52 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .Dm 11. Total Deductions (1,1) 12,198.52 12. Net Value of Tax Return (12) 110,840.59 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00 14. Net Value of Estate Subject to Tax (14) 110,840.59 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 (15) 110,840.59 )( p0 = .00 16. Amount of Line 14 taxable at Lineal/Class A rate C16) .OD x p4 5 = .0 0 17. Amount of Line 14 at Sibling rate (17) .OD X 12 ° .00 18. Amount of Line 14 taxable at Collateral/Class B rate C18) •DD X ~5 = .00 19. Principal Tax Due (19)= .00 TAX CREDITS: PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE ~ NUMBER ~ INTEREST/PEN PAID C-) TOTAL TAX PAYMENT .00 BALANCE OF TAX D~JE .00 INTEREST AND PEIN. . DO 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. o\~J./..'y