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HomeMy WebLinkAbout12-18-09NOTICE OF INHERITANCE TAX A~~/(~I;~~IE`~T~';~COWANCE OR DISALLOWANCE BUREAU OF INDIVIDUAL TAXES -.~ i ~ ~ r!.• INHERITANCE TAX DIVISION ~QF D,ED CTIAN~ AND ASSESSMENT OF TAX PO BOX 280601 i 1'._:,~3:.~' ~.:~1 ~~~ ~.,..... HARRISBURG PA 17128-0601 1009 ©EC 18 ~M I I ~ 32 cLER~ ~~ oRP~~s cau~T STEPHANIE KLEINFELTEQU~iP~~~~J1.f`~D ~:i., PA. KEEPER ETAL 635 N 12TH ST STE 400 LEMOYNE PA 17043 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1547 IX AFP (10-09) DATE 12-14-2009 ESTATE OF BRADBURY NINA T DATE OF DEATH 11-06-2008 FILE NUMBER 21 08-1259 COUNTY CUMBERLAND ACN 101 APPEAL DATE: 02-12-2010 (See reverse side under OL,jections) Awount Reeitted 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 4--= --------------- ----------------- -------------------- REV-1547 EX AFP C10-09) NOTICE OF INHERITANCE TAX APPRAISEM ENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSES SMENT OF TAX ESTATE OF: BRADBURY NINA TFILE N0.:21 08-1259 ACN: 101 DATE: 12-14-2009 TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) C1) .00 NOTE: To ensure proper 2. Stocks and Bonds (Schedule B) (2) 71,320.55 credit to your account, 00 submit the upper portion 3. Closely Held Stock/Partnership Interest (Schedule C) (3) . 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) 23,759.4 5 6. Jointly Owned Property (Schedule F) C6) •Op 7. Transfers (Schedule G) (7) .00 8. Total Assets (8) 95,080.00 APPROV ED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 6.346.14 10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 1,914.20 11. Total Deductions (11) 8,260.34 12. Net Value of Tax Return (12) 86,819.66 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedu le J) (13) .00 14. Net Value of Estate Subject to Tax (14) 86,819.66 NOTE: If an assesssent 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: C15) .00 X (16) 8 6.819.66 X (ln . oo x c1B) .00 X 00 = .00 045 = 3,906.88 12 = .00 15 = .00 (19)= 3, 906.88 PAYMENT RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID nL-lo_9nn0 f`nfl173R3 _00 3.906_R TOTAL TAX PAYMENT 3,906.88 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 DU~ FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. r~