HomeMy WebLinkAbout02-16-10BUREAU OF INDIVIDUAL
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT:. ALLOWANCE OR DISALLOWANCE
TAxES - OF DEDUCTIONS AND ASSESSMENT OF TAX
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DALE P PRAYER ES~~J~,d.j?.~rr~_~"~':Ii~ ~~i'.,
PRAYER LAW OFFICES
250 MT LEBANON BLVD 2
PITTSBURGH PA 15234
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-09)
DATE 02-08-2010
ESTATE OF SEXAUER DOLORES C
DATE OF DEATH 01-08-2009
FILE NUMBER 21 09-0093
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 04-09-2010
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
--~ RETAIN LOWER PORTION FOR YOUR RECORDS t"
CUT ALON_6 THIS LINE ---------------------'--- " -------------
ALLOWANCE
REV-1547 EX APP (12-09)DISALLOWANCENOFRDEDUCTIONS ANDRASSESSMENT OF TAX
DOLORES (FILE N0.:21 09-0093 ACN: 101
ESTATE OF: SEXAUER
TAX RETURN WAS: c X) ACCEPTED AS FILED ( ) CHANGED ______________
-~-
OR
DATE: 02-08-2010
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property CSchedul~? F)
7. Transfers cSchedule G)
C1)
~2)
C3)
C4)
(6)
c7)
.00
.00
.00
,00
229, 141.14
34,4 73.27
.00
~$)
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
63,614.41
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests;
14. Net Value of Estate Sub]ect to Tax
c9) 33 33~ " g
clo) 4,237.44
Non-elected 9113 Trusts cSchedule J)
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
cll) 37,568.02
c12) 226,046.39
c13) .00
c14) 226,046.39
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: DISCOUNT (+)
PAYMENT RECEIPT
DATE NUMBER INTEREST/PEN PAID c-)
CD011049 421.05
03-25-2009 CD011624 .00
08-14-2009
00 = .00
045 = 10,172.09
12 = .00
15 = .00
c19)= 10 , 172.09
8,000.UU
1,751.04
TOTAL TAX PAYMENT 10,172.09
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
. 00 X
c15)
c16) 22 6 046.;9 x
c17) . oo x
c1B) .00 x
AMOUNT PAID
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
rna CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.