HomeMy WebLinkAbout02-16-10 (2)rtoTIe~ ,:OF INHERITANCE TAX pennsylvania ~
APPRAISEM'EN~'; 7~LLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ~~ II~rj.~JC'T'I~-OHS AND ASSESSMENT OF TAX REV-1547 EX AFP c12-09)
INHERITANCE TAX DIVISION __ _. -
PO BOX 280601
HARRISBURG PA 17128-0601 C
+~fl~r~ ~U ~~'~ ,' `~ DATE 02-08-2010
ESTATE OF MAY LOUISE A
~~~~,*y~.}f DATE OF DEATH 01-17-2008
QRPr`~'k{~ r ~tj~`O FILE NUMBER CUMBERLAND
r~•,,~ ~ ~ ~ ~ F~_ COUNTY
~ ~~~"`£ ACN 101
JERROLD A SULCOVE ES~~ '` AppEAL DATE: 04-09-2010
g2 W QUEEN ST (See reverse side under Objections)
CHAMBERSBURG PA 17201 Amount Remitted
MAKE REGISTERA OFB WI A SD REMIT PAYMENT T0:
1 COURTHOUSE SQUARE
CARLISLE PA 17013
~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ______________
CUT ALONG THIS LINE --------------------'-'-------~---------_--
ALLOWANCE OR
REV-1547 EX AFP (12-09~DISALLOWANCENOFRDEDUCTIONS ANDRASSESSMENT OF TAX
LOUISE AFILE N0.:21 08-0130 ACN: 101 DATE: 02-08-2010
ESTATE OF: MAY
TAX RETURN WAS: cX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN N0. O1
C1) ,00 NOTE: To ensure proper
1. Real Estate (Schedule A) .00 credit to your account,
C2) submit the upper portion
2. Stocks and Bonds cSchedule B)
c3) '~~ of this form with your
3. Closely Held Stock/Partnership Interest (Schedule C) c4) ,00 tax payment.
4. Mortgages/Notes Receivable (Schedule D) 5,353.06
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (6) ,00
6. Jointly Owned Property (Schedule F) C7) ,00
7. Transfers cSchedule G) cB) 5.353.06
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: 12 771.96
9. Funeral Expenses/Adm. Costs/Misc. Expenses cSchedule H) c1U) 17.7 9
10. Debts/Mortgage Liabilities/Liens (Schedule I) X11) 12,789.75
c12) 7,436.69-
11. Total Deductions .00
12. Net Value of Tax Return (13)
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (14) 4 21,241.60
14. Net Value of Estate Subject to Tax d/or 16, 17, 18 and 19 Will
NOTE: If an assessment 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 an
of ALL returns assessed to date.
lg. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS: DISCOUNT c+)
PAYMENT RECEIPT
DATE NUMBER INTEREST/PEN PAID c-)
CD009536 315.79
04-09-2008 CD010398 .00
10-10-2008
.00 x
cis)
(16) ~~ ~ -741 .60 X
cln .00 x
.00 X
cls)
AMOUNT PAID
00 - .00
045 = 18,955.87
12 = .00
15 = .00
c19)= 18,955.87
6,000.UU
12,974.73
TOTAL TAX PAYMENT 19,290.52
BALANCE OF TAX DUE 334.65CR
INTEREST AND PEN. .00
TOTAL DUE 334.65CR
* IF PAID AFTER DATE INDICATED, SEE REVERSE AF REFUND.DSEEIREVERSECSIDEAOFATHISEFORM FOR)INSTRUCTIONS,DU~~~
rno reiruLATION OF ADDITIONAL INTEREST.