HomeMy WebLinkAbout04-09-10''"f'ir' tl
s ~,_ ~ ;,~,,_',~~;~ INHERITANCE TAX pennsylvan~a ~
BUREAU OF INDIVIDUAL TAXES A- ANT {A~LOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ' `~ '~t~~T'~IV~ AND ASSESSMENT OF TAX DEPARTMENT OF REVENUE
PO BOX 280601 REV-1547 EX AFP (12-09)
HARRISBURG PA 17128-0601
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COLEEN M CLINESCHMIDT
2860 YOST RD
PERKIOMENVILLE PA 18074
DATE 04-05-2010
ESTATE OF MCGUFFIN MARTIN H
DATE OF DEATH 09-10-2008
FILE NUMBER 21 08-0929
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 06-04-2010
(See reverse side under Objections
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALON_6 THIS LINE _ ~ R_ETA_IN LOWER POR
TION
FOR YOUR RECORDS F--
_
_
REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALL _
OWANCE
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: MCGUFFIN MARTIN HFILE N0.:21 08-0929 ACN: 101 DA
TE: 04-05-2010
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
C1)
2. Stocks and Bonds (Schedule B) .0 0
NOTE: To ensure proper
C2)
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .0 0
.0 0 credit to your account,
submit the upper portion
4. Mortgages/Notes Receivable (Schedule D)
C4)
0 0 of this form with your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) •
.0 0 tax payment.
6. Jointly Owned Property (Schedule F)
(6)
7. Transfers (Schedule G) .0 0
(7) .0 0
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: C8) .00
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
C9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) n 0
.0 0
11. Total Deductions
12. Net Value of Tax Return C11) .00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) •0 0
14. Net Value of Estate Subject to Tax C13) .0 0
(14)
NOTE: If an assessment was issued previously,
1 . 00
reflect figures that include the total of
ALL
d
~ and 19 will
returns a
sess
ASSESSMENT OF TAX: ed
to d to
15. Amount of Line 14 at Spousal rate (15)
0 0
0 0
.
16. Amount of Line 14 taxable at Lineal/Class A rate (16) X
.0 0
nn
17. Amount of Line 14 at Sibling rate x 045 = .00
C17)
no
18. Amount of Line 14 taxable at Collateral/Class B rate C18)
0 0 -
x 12 -
15 -
.00
.
19. Principal Tax Due X
- .0 0
TAX CREDITS: (19)= .00
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT 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" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. n
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