HomeMy WebLinkAbout03-05-10BUREAU OF INDIVIDUAL
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
~..__A~PRA2~~g~p(r,~+~ALLOWANCE OR DISALLOWANCE
TAxES ~ ~TF -DEDU~~;I;ONS AND ASSESSMENT OF TAX
2010 ~~p~iR -5 Q~ ~ ~ ~ Q J
n
Q? r ~~ ~ ~ :. ~ ~'p,~
MICHAEL A SCHERER (~$S~
OBRIEN ETAL
19 W SOUTH ST
CARLISLE PA 17013
pennsylvania , ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-09)
DATE 03-01-2010
ESTATE OF BROWN JEANNETE B
DATE OF DEATH 04-09-2009
FILE NUMBER 21 09-0348
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 04-30-2010
(See reverse side under Objections)
Amount Remitted
MAKE REGISTER OFB WI A SD REMIT PAYMENT T0:
1 COURTHOUSE SQUARE
CARLISLE PA 17013
~ RETAIN LOWER PORTION FOR YO_U_R__R_E_C_O_R_D_S___________
'"""'" ALLOWANCE OR
CUT ALONG THIS LINE " ----
REV-1547 EX AFP (12-09~DISALLOWANCENOFRDEDUCTIONS ANDRASSESSMENT OF TAX
.IFANNETE BFILE N0.:21 09-0348 ACN: 101 DATE: 03-01-2010
ESTATE Ut : esttuw,~ ~ ) CHANGED
retr RETURN WAS: C X ) ACCEPTED AS FILED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
~$) 50,613.84
g. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
s (Schedule H) 17 400.32_
Cioj
Funeral Expenses/Adm. Costs/Misc. Expense
9 17,132.7 5
.
10. Debts/Mortgage Liabilities/Liens (Schedule I) X11) 34,533.07
16,080.77
11 . Total Deductions clz) 16 , 080.77
12. Net Value of Tax Return
lected 9113 Trusts (Sche
- C13)
dule J
00
e
13. Charitable/Governmental Bequests; Non C14) .
14. Net Value of Estate Subject to Tax
l
~
/
n
and 19 will
If an assessment was issued Pr
re~t
ALL
l d to
to
assessed
urns
NOTE:
of
he tota
reflect figures that include t 00
ASSESSMENT OF TAX: c15) .00 x 00 =
= .
00
15. Amount of Line 14 at Spousal rate C16)
al/Class A rate
i .00 X 045
= .
00
ne
Amount of Line 14 taxable at L
16
c17) .00 X 12 .
.
17. Amount of Line 14 at Sibling rate
C18)
.~~ X 15 = , 00
14 taxable at Collateral/Class B rate c19)= .00
18. Amount of Line
19. Principal Tax Due
TAX CREDITS: DISCOUNT (+) AMOUNT PAID
~YMENT RECEIPT
NUMBER INTEREST/PEN PAID (-)
DATE
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
.00
TOTAL DUE
49,413.62
C1)
80.44
c2)
.00
c3)
.00
c4)
1 , 119 .78
c5)
.00
c6)
.00
~~)
~ IF PAID AFTER DATE INDICATED, SEE REVERSE AFREFUND.DSEEIREVERSECSIDEAOFATMISEFORM FOR)INSTRUCTIONS DUE
~.,o rn, ru, nTION OF ADDITIONAL INTEREST.