HomeMy WebLinkAbout03-12-10BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISF~1~~~- ,%~~;F~~?I~1~1~-0R DISALLOWANCE
OF DED1~ T;~ONS ,ANpa+ASSESSMENT OF TAX
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Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 IX AFP C12-09)
2~~Q H~~ ~ ~ ~~ ~~~~ 03-08-2010
ESTATE OF GRAYBILL DARVIN E
~R~ ~~ DATE OF DEATH 12-09-2008
~~~,~ ~U,~,~F'ILE NUMBER 21 09-0019
MARIELLE F HAZEN CU~~~~~~~ ro-, LINTY CUMBERLAND
N 101
HAZEN ELDER LAW APPEAL DATE: 05-07-2010
2000 LINGLESTOWN RD 2 (See reverse side under Objections)
HARRISBURG PA 17110 Awount 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 ~
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REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: GRAYBILL DARVIN EFILE N0.:21 09-0019 ACN: 101 DATE: 03-08-2010
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) 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:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
~1) 130,000.00 NOTE: To ensure proper
C2) 70, 104.80 credit to your account,
00 submit the upper portion
C3) . of this form with your
C4) • 00 tax payment.
c5) 183,260.79
c6) .00
~7) 194,752.59
cs) _ 578,118.18
~q) 29.196.37
cla) 765.21
11. Total Deductions (11) 29,961.58
12. Net Value of Tax Return (12) 548, 156.60
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 548, 156.60
NOTE: If an assesswaent 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:
15. Amount of Line 14 at Spousal rate C15) •00 X 00 = .00
16. Amount of Line 14 taxable at lineal/Class A rate C16) 548.156.60 X 045 = 24,667.05
17. Amount of Line 14 at Sibling rate C17) _00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B ra te C18) .00 X 15 - .00
19. Principal Tax Due c19)= 24,667.05
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
03-06-2009 (0010977 1,026.32 19,500.00
09-09-2009 (0011727 .00 640.73
09-09-2009 (0011728 .00 3,500.00
TOTAL TAX PAYMENT 24,667.05
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. n+~