HomeMy WebLinkAbout04-23-10_, ~~, ,~ ~ ,~~,NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL ,`AXES '~~~'~~-~MENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~ '": OF 'DEDUCTIONS AND ASSESSMENT OF TAX
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HARRISBURG PA 17128-0601
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512 HALDEMAN BLVD
NEW CUMBERLAND PA 17070
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DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-09)
DATE 04-19-2010
ESTATE OF SHEAFFER BEULAH R
DATE OF DEATH 04-03-2009
FILE NUMBER 21 09-1034
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 SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE _ ~ R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS ~ _
REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SHEAFFER BEULAH RFILE N0.:21 09-1034 ACN: 101 _______________
OR
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) (2) .0 0 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .0 0 :submit the upper portion
cif this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 2,24 8.9 2
6. Jointly Owned Property (Schedule F) (6) 7, 738.83
7. Transfers (Schedule G) (7) 1 , 847.72
8. Total Assets ca) 11 , 835.47
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (y) 12,14 7.12
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 1,8 21.19
11. Total Deductions C11) 13, 968.31
12. Net Value of Tax Return C12) 2, 132.84-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax C14) 2, 132.84-
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) .00 X 00 =• .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) .0 0 x 04 5 .0 0
17. Amount of Line 14 at Sibling rate C17) .00 X 12 =• .00
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
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. ~,
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