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HomeMy WebLinkAbout04-09-10BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 GEORGE W PORTER ESQ 909 E CHOCOLATE AVE HERSHEY PA 17033 pennsylvania ~ DEPARTMENT OF REVENUE REV-1547 EX AFP C12-09) DATE 04-05-2010 ESTATE OF BOWMAN JEAN E DATE OF DEATH 02-01-2009 FILE NUMBER 21 09-0490 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-ALONG-THIS-LINE-- - ~ -RETAIN-LOWER-PORTION FOR YOUR RECORDS- 4--~-- --- ----- ---- ---- -- ----- ------ ----- ----------------------- ---- REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF: BOWMAN JEAN EFILE N0.:21 09-0490 ACN: 101 ----------------- OR DATE: 04-05-2010 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) 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) (2) .0 0 credit to your account, 0 0 submit the upper portion 3. Closely Held Stock/Partnershiplnterest (Schedule C) C3) • of this form with your 4. Mortgages/Notes Receivable (Schedule D) C4) •0 0 tax payment. 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 14,303.92 6. Jointly Owned Property (Schedule F) (6) .0 0 7. Transfers (Schedule G) (7) .0 0 8. Total Assets (8) 14 , 303.92 APPROV ED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 10.9 3 6.5 7 10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 20 , 999 .87 11. Total Deductions C11) 31,936.44 12. Net Value of Tax Return C12) 17,632.52- 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0 14. Net Value of Estate Subject to Tax C14) 17, 632.52- NOTE: If an assessment 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) .0 0 X 0 0 = .0 0 16. Amount of Line 14 taxable at Lineal/Class A rate C16) _0 0 x 0 4 5 = .0 0 17. Amount of Line 14 at Sibling rate C17) .0 0 X 12 - .0 0 18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 = .0 0 19. Principal Tax Due (19)= .0 0 TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID ~~~;~~~ ~ H~ERITANCE TAX APPI~~S~It, f~ ANCE OR DISALLOWANCE O~F'"'fT`~`D~}~~-~OM'~~.~ND ASSESSMENT OF TAX CARP ER~K ~F ~'~~~i~j~Q;~~~ ~C.~.Y P 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. r~ ^J ~~~\