HomeMy WebLinkAbout02-16-10BUREAU OF INDIVIDUAL
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
-- - '':NOTICE OF INHERITANCE TAX
" - APPRAI~SEMENT, ALLOWANCE OR DISALLOWANCE
TAxES p~. DEDUCTIONS AND ASSESSMENT OF TAX
20sOFE~ 16 P i~ 54
O~p;~~?~~'v ~ ~~~J~T
VIRGINIA E HD~~~ER
50 BROAD ST
NEWVILLE PA 17241
pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-09)
DATE 02-08-2010
ESTATE OF MILLER CHARLOTTE M
DATE OF DEATH 02-11-2009
FILE NUMBER 21 09-0364
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
CUT ALONG THIS LINE --') RETAIN LOWER PORTION_FOR_ YOUR_RECORDS_ f- __ _________________
CE
REV-1547 EX AFP (12-09~
O
A
R
R
N OR
TAX
OF
ASSESSMENT
DEDUCTIONS AND
OF
DISALLOWANCE
ESTATE OF: MILLER CHARLOTTE MFILE N0.:21 09-0364 ACN: 101 DATE: 02-08-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
C1) •~~ NOTE: To ensure proper
1. Real Estate (Schedule A) ~~ credit to your account,
2. Stocks and Bonds (Schedule B) .
C2)
00
submit the upper portion
Closely Held Stock/Partnership Interest (Schedule C)
3 .
L3) of this form with your
.
Mortgages/Notes Receivable (Schedule D)
4
C4) •~0
tax payment.
.
Cash/Bank Deposits/Misc. Personal Property (Schedule E)
5 2,828.80
C5)
.
6. Jointly Owned Property (Schedule F) ,00
C6)
00
7. Transfers (Schedule G)
c7) .
ca) 2.828.80
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
9 ~9) 7.2 09.4 3
.
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 21.5.901.60
223, 111 .03
cll)
11. Total Deductions
(12) 220,282.23-
12. Net Value of Tax Return
itable/Governmental Bequests; Non-elected 9113 Trusts
3
Ch
(Schedule J) C13) .00
ar
.
1
C14) 220,282.2 3-
14. Net Value of Estate Subject to Tax
If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
NOTE:
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX: ,00 x 00 = .00
15. Amount of Line 14 at Spousal rate C15)
00 x 04 5
= .00
16. Amount of Line 14 taxable at lineal/Class A rate C16) .
00
=
cln
17. Amount of Line 14 at Sibling rate
.00 x 12
.
00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 x 15 = .
C19)= .00
19. Principal Tax Due
TAX CREDITS:
'AYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~r
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUES"
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.