HomeMy WebLinkAbout02-19-10 NOTICE OF INHERITANCE TAX Pennsylvania ' 4~~~
APPftIbI$EME'IVT3':ACLOWA NCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES 1 AND
'~DEDUCTIONS
0~ ASSESSMENT OF TAX REV-1547 EX AFP C12-09)
INHERITANCE TAX DIVISION ,
.
PO BOX 280601 _ ,, ._. -~ .
HARRISBURG PA 17128-0601
~~~~ ~.~~ ~ ~ ~~} ~: 4 ~ DATE 02-15-2010
ESTATE OF MOOD THOMAS E
DATE OF DEATH 05-18-2009
~,~'~r14{. ~.~~~" FILE NUMBER 21 09-0480
Q! ;; -"~ ` ~~' ' ~ i COUNTY CUMBERLAND
LISA MARIE COYNE v`„" ~' ~~". ACN 101
COYNE 8, COYNE PC APPEAL DATE: 04-16-2010
(See reverse side under Objections)
3901 MARKET ST
CAMP HILL PA 17011-4227 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T 0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
-RETAIN-LOWER-PORTION-FOR
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CUT ALONG THIS LINE -YOUR_RECORDS- E~ __ _________________
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REV-1547 EX AFP (12-09~ NOTICE OF INHERITANCE TAX APPR AISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: MOOD THOMAS EFILE N0.:21 09-0480 ACN: 101 DATE: 02-15-2010
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
Real Estate (Schedule A)
1 (1) .0 0 NOTE: To ensure proper
. ,00 credit to your account,
2. Stocks and Bonds (Schedule B) (2) submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) '~~ of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 12,95 9.17
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
C8) 12, 959.17
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 34,595.95
L0. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 310,5 85.4 4
cll) 345, 181 .39
11. Total Deductions
C12) 332,222.22-
12. Net Value of Tax Return 00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .
(14) 332,222.22-
14. Net Value of Estate Subject to Tax
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX: 00
00 = .00
15. Amount of Line 14 at Spousal rate (15) .
X
00
=
16. Amount of Line 14 taxable at Lineal/Class A rate C16) .
.00 x 04 5
17. Amount of Line 14 at Sibling rate (17) .00 X 12 = .00
Amount of Line 14 taxable at Collateral/Class B rate (18)
18 .00 X 15 = .00
. c19)= .00
19. Principal Tax Due
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
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" (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.