HomeMy WebLinkAbout03-26-10NOTICE OF INHERITANCE TAX
-`~ I'71~~I~~-~~MT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES ~`.. _ ._ ~ ,,,
INHERITANCE TAX DIVISION '~QF l3EtalkCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 1' ~ ~.t.` r, , .
HARRISBURG PA 17128-0601
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130 W BIG SPRING AVE
NEWVILLE PA 17241-1607
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DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-09)
DATE 03-22-2010
ESTATE OF ROUSER HAZEL M
DATE OF DEATH 08-30-2008
FILE NUMBER 21 08-1017
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 05-21-2010
(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 ~- RETAIN LOWER PORTION FOR YOUR RECORDS
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REV-15 _
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47 EX AFP (12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE _ ____
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OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: ROUSER HAZEL MFILE N0.:21 08-1017 ACN: 101 DATE: 03-22-2010
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) .0 0
NOTE: To ensure proper
2. Stocks and Bonds [Schedule B) C2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest [Schedule C) C3) .00 submit the upper portion
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) 4,069.8 3
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers [Schedule G) C7) .O 0
8. Total Assets C8) 4,069.83
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Cq) 8 3 6.03
10. Debts/Mortgage Liabilities/Liens [Schedule I) C10) 3.7 0 0.00
11. Total Deductions (11) 4,536.03
12. Net Value of Tax Return C12) 466.20-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) 466.20-
NOTE: If an assessment was issued previously,
reflect figures that include the total
ASSESSMENT OF TAX:
15. Amount of Line 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:
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns assessed to date.
C15) .00 X 00 = .00
c16) _ Do x 045 = . 00
C17) _ 00 X 12 = .00
Cla) .00 X 15 = .00
C19)= .00
r,arncn~ Ktt;t t-~~ DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
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
ULAT ON OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM
- - - FOR INSTRUCTIONS.