HomeMy WebLinkAbout04-16-10BUREAU OF INDIVIDUAL
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
SUSAN J STUCKEY
68 FAIRFAX VILLAGE
HBG PA
?~!~ APR 16 P~ 12~ 45
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17112
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-09)
DATE 04-12-2010
STUCKEY JACK E
ESTATE OF
DATE OF DEATH 09-11-2008
FILE NUMBER 21 09-0223
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 06-11-2010
(See reverse side under Objections)
Amount Remitted
MAKE REG STERAYOFB WILALSD REMIT PAYMENT T0:
1 COURTHOUSE SQUARE
CARLISLE PA 17013
--------------
CUT ALONG THIS LINE-____ ~ __RETAIN_LOWER-PORTION FOR_YOUR-RECOALLOWANCE OR
REV-1547 EX AFP (12-09 NOTLLOWANCENOFRDEDUCTIONS ANDRASSESSMENT OF TAX DATE: 04-12-2010
DISA ACN. 101
ierr EFILE N0.:21 09-0223
ESTATE OF : 5 I UI.RC T -"
rnv of=TURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
ORIGINAL RETURN
APPRAISED VALUE OF RETURN BASED ON:
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. Joini:ly Owned Property (Schedule F)
7. Transfers (Schedule G)
g. Tot a'1 Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests;
14. Net Value of Estate Subject to Tax
106,000.00
C1)
.00
Iz)
.00
c3)
.00
c4)
2,500.00
c5)
42,210.00
c6)
.00
(7)
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
~$) 150,710.00
c9) F.6S6.00
clo) .00
Non-elected 9113 Trusts (Schedule J)
NOTE: If an assessment was issued previously,
reflect figures that include the total
ASSESSMENT OF TAX:
15. Amcunt of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
nt of Line 14 at Sibling rate
cll) 5, 656.00
c12) 145, 054.00
c13) .00
c14) 145, 054.00
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns assessed to date.
c15) 145,054.00 x
17. Amou
lg. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS: DISCOUNT C+)
PAYMENT RECEIPT
NUMBER INTEREST/PEN PAID C-)
DATE
C16) .00 X
I17) . ~- x
cls) ' 00 x
AMOUNT PAID
00 = .00
045 = .00
12 = .00
15 = .00
c19)= .00
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
r I~OTICE~OF INHERITANCE TAX
APflRAtSF1M_EI~`~, `,.~L~~?OWANCE OR DISALLOWANCE
TAxes ~~ b~TI~O:~IS `AND ASSESSMENT OF TAX
.', ., _ ..
AFREFUND.DSEEIREVERSECSIDEAOFATHISEFORM FOR)INSTRUCTIONS,DU'-
* IP PAID AFTER DATE INDICATED, SEE REVERSE
FnR CALCULATION OF ADDITIONAL INTEREST.