HomeMy WebLinkAbout04-16-10BUREAU OF INDIVIDUAL
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
JOEL 0 SECHRIST
568 OLD YORK RD
ETTERS
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DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-09)
DATE 04-12-2010
MACHAMER DIXIE L
ESTATE OF
DATE OF DEATH 02-14-2009
FILE NUMBER 21 09-0278
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 06-11-2010
(See reverse side under Objections)
Amount Remitted
MAKE RED STER OFB WILALS REMIT PAYMENT T0:
1 COURTHOUSE SQUARE
CARLISLE PA 17013
_ -
----------------
CUT ALONG THIS LINE-____ ~ __RETAIN-LOWER PORTION FOR_YOUR_RECO ALLOWANCE OR
REV-1547 EX AFP C12-09~DISALCE OF INHERITANCE TAX APPRAISgMENT'ACN: 101
LOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DATE: 04-12-2010
nTYTF LFILE N0..21 09-27
ESTATE OF : MALh/~~~R
TAX RETURN 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. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
NOTE: To ensure proper
credit to Your account,
submit the upper portion
of this form with your
tax payment.
c8) 129 , 170 .42
8. Total Assets
DEDUCTIONS AND EXEMPTIONS:
~_Fg3.57
APPROVED
al Expenses/Adm. Costs/Misc. Expenses (Schedule H) C10) 1,644.12
9. Funer
Liabilities/Liens (Schedule 7,237.69
10. Debts/Mortgage cll) 932.7 3
121
11. Total Deductions c12)
(13) ,
.00
12. Net Value of Tax Return
nmental Bequests; Non-elected 9113 Trusts (Schedule J C14) 121 , 932 .73
13. Charitable/Gover
of Estate Sub]ect to Tax
17, 18
16
and 19 wil
,
14. Net Value
sued previously, lines 14, 15 and/or
da e
i •
s
If an assessment was
NOTE:
include the total of
ALL returns ass
reflect figures that 00
00 00
ASSESSMENT OF TAX:
14 at Spousal rate X
c15)
6) ~ ~~ 9;2.73 x 045 5,486.97
15. Amount of Line
f Line 14 taxable at Lineal/Class A rate c1
17) ,QO X 12 = , 00
16. Amount o
f Line 14 at Sibling rate (
.00 X 15 .00
17. Amount o
Collateral/Class B rate C18)
c19)=
5,486.97
lg. Amount of Line 14 taxable at
19. Principal Tax Due
TAX CREDITS: DISCOUNT (+) AMOUNT PAID
PAYMENT RECEIPT
NUMBER INTEREST/PEN PAID ~') 5,344.31
DATE .00 142.66
11- 25 00 09 CD011960 .00
11-05-2009 CD011961
TOTAL TAX PAYMENT 5,486.97
BALANCE OF TAX DUE .00
.00
INTEREST AND PEN.
.00
TOTAL DUE
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
~ IF PAID AFTER DATE INDICATED, SEE REVERSE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
_ _.~..~~~wrrnN nF ADDITIONAL INTEREST.
r-~ {y{~,,T.~ OF INHERITANCE TAX
_gPPI~AIgEM~ ,~ ALLOWANCE OR DISALLOWANCE
TAXES ONS AND ASSESSMENT OF TAX
.00
(1)
.00
(2)
.00
c3) .00
(4)
3, 668.09
c5) 125,502.33
c6) .00
(7)