HomeMy WebLinkAbout11-30-09NOTICE OF INHERITANCE TAX Pennsylvania ~
BUREAU OF INDIVIDUAL TAXES APP~4F, v!i-~-!tANCE OR DISALLOWANCE
r J' DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION D~'.' ~~~~;aN$ri~/+~ ASSESSMENT OF TAX REV-1547 EX AFP QO-09)
PO BOX 280601 a, ~ . i ~ ~J~ r'r i>_ wd
WIRRISBURG PA 17128-0601 ~~"~} ''~ "~
Zpg9 NOY 30 PM i2= ~}ODATE 11-23-2009
ESTATE OF SCHREIBEIS GLADYS R
C~~~~ ~~ DATE OF DEATH 11-19-2008
ORPHANS COURT FILE NUMBER 21 09-0160
CHARLENE FEUCHTHENBERGERCU~,,~~c~?~?~s`Y[1 CQ., PQ, ACNNTY lO1BERLAND
ORRSTOWN BANK APPEAL DATE: 01-22-2010
PO BOX 250 (See reverse side under Objections)
SHIPPENSBURG PA 17257 Aeount 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 ~ _ _________
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REV-1547 EX AFP C10-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SCHREIBEIS GLADYS RFILE N0.:21 09-0160 ACN: 101 DATE: 11-23-2009
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 141,000.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) ,0p credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) •OQ tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 2,235.00
6. Jointly Owned Property (Schedule F) (6) 38 .33 .44
7. Transfers (Schedule G) (7)_ 83.266.49
8. Total Assets (e) 608,836.93
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (g) 30,709.30
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 4,885.62
11. Total Deductions C11) 35,594.92
12. Net Value of Tax Return (12) 573,242.01
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) 573.24 .O1
NOTE: If an assesswent was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect finures 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)_ F'7~.9G9 1 n x 045 ~ 25,795.89
17. Amount of Line 14 at Sibling rate C17) 00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 = .00
19. Principal Tax Dua (19)= 25,795.89
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
06-08-2009 CD011325 .00 25,795.89
TOTAL TAX PAYMENT 25,795.89
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TDTAL DUE IS REFLECTED AS A "CREDIT'S CCR), YOU MAY BE DUE
OR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM
- - _ FOR INSTRUCTIONS.