HomeMy WebLinkAbout03-19-10.~..,r.~ ,.,N9~, Cyr OF INHERITANCE TAX
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BUREAU OF INDIVIDUAL TAXES 'LL~ - ~~''~AI~.EM~, T~`ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION '~ 0~:-•D~fl~~~_T;I~JNS AND ASSESSMENT OF TAX
PO BOX 280601 t '` ~ ~ `' ~ ~~'
HARRISBURG PA 17128-0601
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KEITH 0 BRENNEMAN L~ ~~~ , ~ -, ~ `~ ~~~
SNELBAKER 8~ BRENNEMAN
44 W MAIN ST
MECHANICSBURG PA 17055
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DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-09)
DATE 03-15-2010
ESTATE OF CHIPRIANO JOHN L
DATE OF DEATH 03-08-2009
FILE NUMBER 21 09-0261
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 05-14-2010
(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 - ~ -R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS ~ _ _______________
REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: CHIPRIANO JOHN LFILE N0.:21 09-0261 ACN: 101 DATE: 03-15-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
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)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
cs) 121 , 660.36
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 5 .11_6.8 9
L0. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 2 ,30 7.81
11. Total Deductions C11) 7,424.70
12. Net Value of Tax Return C12) 114,235.66
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax C14) 114,235.66
NOTE: If an assessment
reflect figures
ASSESSMENT OF TAX:
was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
that include the total of ALL returns assessed to date.
15. Amount of Lfne 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
c15) 114,235.66 X
C16) . 00 X
C17) . 00 X
c18) . 00 X
00 = .00
045 = .00
12 .00
15 = .00
c19)= . 00
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
cl) .00
c2) 5,823.88
c3) .00
c4) .00
c5) 93, 050 .21
c6) 338.21
c7) 22,448.06
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. ~(~
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