HomeMy WebLinkAbout04-23-10-~ ,-,--- ~-•;, ,~~.,-„.~ry.~,TICE OF INHERITANCE TAX
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BUREAU OF INDIVIDUAL TAXES ~ ~• AP`#?''RA~L'~~1~ENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION , ~ ~ 0~:`~:'~E~tUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 `~ "' -'• ~
HARRISBURG PA 17128-0601
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3901 MARKET ST
CAMP HILL PA 17011-4227
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DEPARTMENT OF REVENUE
REV-A547 EX AFP (12-09)
DATE 04-19-2010
ESTATE OF YOHE DORIS M
DATE OF DEATH 07-30-2009
FILE NUMBER 21 09-0762
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 06-18-2010
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
CUT ALONG THIS LINE _ ~ R_ETA_IN LOWER POR
TION
FOR YOUR RECORDS E~
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REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APP
RAISEME _
NT, ALLOWANCE ____________
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESS MENT OF TAX
ESTATE OF: YORE DORIS MFILE N0.:21 09-0762 ACN: 101 DATE: 04-19-2010
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) C2) 1 , 745.64 ~=redit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .0 0 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .0 0 i:ax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 14,557.60
6. Jointly Owned Property (Schedule F) (6) 22, 517.48
7. Transfers (Schedule G) (7) .0 0
8. Total Assets (8) 38 , 820.72
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 15.7 6 7. 1
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 6,15 4.6 7
11. Total Deductions C11) 21,921.88
12. Net Value of Tax Return C12) 16,898.84
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax C14) _ 16,898.84
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) 1 6 , 898.84 x 045 = 760 .45
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)=' 760.45
TAX CREDITS: -
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
10-29-2009 CD011927 38.02 722.43
TOTAL TAX PAYMENT 760.45
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.
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