HomeMy WebLinkAbout02-05-10NOTICE OF INHERITANCE TAX
pF,pR MENT, ALLOWANCE OR DISALLOWANCE
suREau of INDIVIDUAL rA-cesr~ t'._r) _°°+~~ ~~DUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION '~~ ~.
PO BOX 280601 ,~,~\1 i~~-`~ " ~ 5' ~ w
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-09)
HARRISBURG PA 17128-0601 01 - 13 - 2010
DATE DAISY B
~~~QC~g_5 A1~~i~ 04 ESTATE OF BAIRD
f DATE OF DEATH 04-12-2008
~~~~~ ~~ FILE NUMBER 21 09-0434
CUMBERLAND
J~1 ~ ~'~UR'p ACNNTY 101
CYNTHIA Y KQ~~, _ ~.ft,t.w ,_;;~,., ,P. APPEAL DATE: 03-14-2010
20 FAIRWAY `~ (See reverse side under Objections)
5
CAMP HILL PA 17011
Amount Remitted
MAKE REGISTER OFB WILLSD REMIT PAYMENT T0:
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PORTIDN-FOR_YOUR_RECORDS- ~ ________
LOWER
~ RETAIN
OR ___________
_
_
ALLOWANCE
6 THIS LINE
CUT ALON
R
R
N
_
ASSESSMENT OF TAX DATE:
DEDUCTIONS AND
REV-1547 EX AFP C12-09~DiSALLOWANCE
OF 01-13-2010
BFILE N0.:21 09-0434 ACN: 101
DAISY
ESTATE OF: BAIRD
ACCEPTED AS FILED C ) CHANGED
TAX RETURN WAS: CX)
C1) 156,000.00 NOTE: To ensure proper
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
unt
.00 credit
1. Real Estate (Schedule A) C2) submit ,
to your acco
the upper portion
2. Stocks and Bonds (Schedule B) C3) .00 of thi
(Schedule C) s form with Your
3. Closely Held Stock/Partnership Interest
C4) ,00 tax pa yment.
4. Mortgages/Notes Receivable (Schedule D) 2,430.00
(Schedule E)
5. Cash/Bank Deposits/Misc. Personal Property
C6) 682,00
6. Jointly Owned Property (Schedule F) C7) .00
7. Transfers (Schedule G) C8) 1F;9.I.12.00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: 10 4400
H)
Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule
C1U) 3,34 3.00
9
.
10. Debts/Mortgage Liabilities/Liens (Schedule I) C11) 13,7 86.00
145,326.00
c12)
11. Total Deductions ,00
12. Net Value of Tax Return (13)
tal Be4uests; Non-elected 9113 Trusts (Schedule J) (14)
14 5,326.00
13. Charitable/Governmen
14. Net Value of Estate Subject to Tax
~
~
n
l
and 19 will
d t
to
NOTE: If an assessment was issued previ t te
assessed
re~turns
f ALL
'
o
l
reflect figures that include the --- 00
ASSESSMENT OF TAX: c15) .00 X 00 =
= ,
00
.00 x 045
15. Amount of Line 14 at Spousal rate
t Lineal/Class A rate
~) .
.00
.0 D X 12
16. Amount of Line 14 taxable a
C1
te
00
799
21
17. Amount of Line 14 at Sibling ra
145,326.00 X 15 =
C18 .
,
c19)=
f Line 14 taxable at Collateral/Class B rate
t 21,799.00
o
18. Amoun
19. Principal Tax Due
TAX CREDITS: DISCOUNT C+) AMOUNT PAID
PAYMENT RECEIPT
NUMBER INTEREST/PEN PAID L-) 21,799.00
DATE , 00
nQ_Tft-90D9 CD011639
TOTAL TAX PAYMENT 21,799.00
BALANCE OF UNPAID INTEREST/PENALTY AS OF 08-19-2009 BALANCE OF TAX DUE .00
INTEREST AND PEN. 651.05
TOTAL DUE 651.05
* IF PAID AFTER DATE INDICATED. SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE '
~..., r.,riiie7TON OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.