HomeMy WebLinkAbout03-12-10BUREAU OF INDIVIDUAL
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
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pR.P~,AN'~ {~ ,~
WILLIAM DANI~~~-~-
HUMER K DANIELS
1 W HIGH ST
CARLISLE PA 17013
.,r :~.NQTICE OF INHERITANCE TAX
ApF~'~#IS~MENT, ALLOWANCE OR DISALLOWANCE
TaxES OF I~~DUCTIONS AND ASSESSMENT OF TAX
Pennsylvania
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-09)
DATE 03-15-2010
ESTATE OF LEFKOWSKI MARY E
DATE OF DEATH 12-02-2004
FILE NUMBER 21 05-0140
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
L~~ V ~~~ ~ ~ ~~ "7~ ~V
CUT ALONG THIS LINE ---) RETAIN LOWER PORTION _FOR_YOUR_RECORDS- ~- ________ ___________
REV-1547 EX AFP C12-09~
R
N CE OR
O
A
R
DEDUCTIONS
OF
DISALLOWANCE TAX
OF
ASSESSMENT
AND
ESTATE OF: LEFKOWSKI MARY EFILE N0.:21 05-0140 ACN: 101 DATE: 03-15-2010
TAX RETURN WAS: C ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOTICE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL AND SUPPLEMENTAL RETURN N0. O1
(1) •~~ NOTE: T o ensure proper
1. Real Estate (Schedule A) ~~ credit to your account,
2. Stocks and Bonds (Schedule B) •
(2)
00 submit
the upper portion
Closely Held Stock/Partnership Interest (Schedule C)
3 .
(3) of this form with your
.
Mortgages/Notes Receivable (Schedule D)
4
(4) • 00 tax pay
ment.
.
2,320.00
Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5)
5
.
Jointly Owned Property (Schedule F)
6 ,00
(6)
. (7) .00
7. Transfers (Schedule G)
($) 2.320.00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule
9
1,192.00
H) (9)
.
10. Debts/Mortgage Liabilities/Liens (Schedule I)
20.576.30
C10)
768.30
21
(11) ,
11. Total Deductions
(12) 19,448.30-
12. Net Value of Tax Return
itable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13)
13
Ch .00
ar
. (14) 19,448.30-
14. Net Value of Estate Sub]ect to Tax
n assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
If
a
NOTE:
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX: .Op x 00 = .00
15. Amount of Line 14 at Spousal rate C15)
00 x 045 =
.00
Amount of Line 14 taxable at Lineal/Class A rate
16
.
(16)
.
17. Amount of Line 14 at Sibling rate
(17) .00 x 12 =
.00
00
18. Amount of Line 14 taxable at Collateral/Class B rate .00 X 15 =
(18) (19)= .
.00
19. Principal Tax Due
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) 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.
REV-1470 EX (07-10)
-ir ~ pennsylvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
Mary E. Lefkowski
Destiny S.R. Brown
ITEM
SCHEDULE NO.
Accepted original return as filed.
INHERITANCE TAX
EXPLANATION
OF CHANGES
EXPLANATION OF CHANGES
ROW
FILE NUMBER
2105-0140
101
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