HomeMy WebLinkAbout03-05-10BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
DENNIS A LEBO
613 COPPER CIR
CARLISLE
O F INHERITANCE TAX
Yir~iP~~A~S~119~~~NI~LLOWANCE OR DISALLOWANCE
r~-t~~~ ~.~~~~~4to~S AND ASSESSMENT OF TAX
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-09)
2pIap9AR -5 AMtI• ~J DATE 03-01-2010
ESTATE OF LEBO CLARENCE K
\sLE~(~ ~i DATE OF DEATH 07-09-2009
Q~P~~~~ 4`~t;~j FILE NUMBER 21 09-0660
C~~~f~'~~~!_^''~~ ~;~~~. PA. COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 04-30-2010
PA 17015 - 4312 (See reverse side under Oiifections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1547 EX AFP (12-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: LEBO CLARENCE KFILE N0.:21 09-0660 ACN: 101 DATE: 03-01-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) •00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) •00 credit to your account,
00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3] . of this form with your
4. MortgageslNotes Receivable (Schedule D) C4) •0D tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 7,914.35
6. Jointly Owned Property (Schedule F) (6) .0D
7. Transfers (Schedule G) (7) .00
8. Total Assets C8) 7,914.35
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Cy) 9. 330.73
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions (11) 9,330.73
12. Net Value of Tax Return (12) 1,416.38-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 1,416.38-
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 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:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-)
C15) .00 )(
C16) .00 X
c17) _ oo x
(18) .00 X
AMOUNT PAID
00 = .00
045 = .00
12 .00
15 .00
(19)= .00
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR). YOU MAY BE DUE _
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. EyJ1~\'(~