HomeMy WebLinkAbout12-04-09f ~.,pF INHERITANCE TAX Pennsylvania ~
BUREAU OF INDIVIDUAL TAXES '~ F^~ ; ~E~~E~p~UILLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION r~~.?( '~~'~~S AND ASSESSMENT OF TAX REV-1547 EX AFP QO-097
PO BOX 280601
HARRISBURG PA 17128-0601
~~ ~EC -4 PM I= 4C DATE 11-30-2009
ESTATE OF CAMPISI JOHN
DATE OF DEATH 03-20-2009
FILE NUMBER 21 09-0311
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(~M~ {~iJ COUNTY CUMBERLAND
.,
FRANCES A ZULLI ACN 101
WION ETAL APPEAL DATE: 01-29-2010
109 LOCUST ST (See reverse side under Objections)
HBG PA 17101 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 (10-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: CAMPISI JOHN FILE N0 .:21 09-0311 ACN: 101 DATE: 11-30-2009
TAX RETURN WAS: (X) ACCEPTED AS FILED [ )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) (3) .00 subwit the upper portion
ofi this fore with your
4. Mortgages/Notes Receivable (Schedule D) (4) •00 tax paywent.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule El (5) 107,748.01
6. Jointly OMned Property (Schedule F) (6) .OD
7. Transfers (Schedule G) (7) .OD
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adn. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
(~) 107,748.01
(q)_ 3,800.50
(lo) 1,234.85
11. Total Deductions (11) 5, 035.35
12. Nat Value of Tax Return (12) 102, 712 .66
13. Charitable/Govsrnwental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Nst Value of Estate Subject to Tax (14) 102.712.66
NOTE: If an assessment was issued previously, lines 14, 15 andior 16, 17, 18 and 19 wiil~
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Aaount of Line 14 at Spousal rate (15) .00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 7(19,777 AA X 045= 4,622.07
17. Aaount of Line 14 at Sibling rate (17) DO X 1 2 = .00
18. Awount of Line 14 taxable at Collateral/Class B rats [18) .00 X 15 - .00
19. Principal Tax Due (19)=_ 4,622.07
TAX CREDITS:
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID [-)
06-16-2009 CD011370 231.10 4,390.97
TOTAL TAX PAYMENt 4 622.07
BALANCE OF TAX DUIE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A ^CREDIT" [CR), YOU MAY BE DUE ~
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.