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HomeMy WebLinkAbout04-23-10NOTICE OF INHERITANCE TAX ~'~" ~-FPR74;I ,E F~'AtT, ALLOWANCE OR DISALLOWANCE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION 0~ ~~I711~TIONS AND ASSESSMENT OF TAX Po eox 2so6o1 I _":'.,;; ;; ;v;` ~. HARRISBURG PA 17128-0601 ~ '" ~~ i 0 APR 2 3 P~ !~~ 4 i RDG~E~~ ~;~[~~ R JAN M WILEY ~~~~,,~~r_~-~~ ,a, ~i_.. ~,,,,,, PN THE WILEY GROUP 130 W CHURCH ST DILLSBURG PA 17019 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1547 EX AFP C12-09) DATE 04-19-2010 ESTATE OF STONER ANNA M DATE OF DEATH 05-13-2009 FILE NUMBER 21 09-0500 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: STONER ANNA MFILE N0.:21 09-0500 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) C2) .Q 0 credit to your account, 3. Closely Held Stock/Partnership Interest (Schedule C) C3) .0 0 submit the upper portion 4. Mortgages/Notes Receivable (Schedule D) (4) .0 0 of this form with your tax payment. 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 99,450.11 6. Jointly Owned Property (Schedule F) (6) .0 0 7. Transfers (Schedule G) C7) .0 0 8. Total Assets c8) 99 , 450.11 APPROV ED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 17,0 7 8. 10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 24 6.5 3 11. Total Deductions C11) 17,325.06 12. Net Value of Tax Return C12) 82, 125.05 13. Charitable/Governmental Bequests; Non-elected 9113 Tr usts (Schedule J) C13) .0 0 14. Net Value of Estate Subject to Tax C14) 82, 125.05 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) 8~ . 1 . 0 X 045 = 3, 695.63 17. Amount of Line 14 at Sibling rate (17) .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)= 3, 695.63 TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID 08-07-2009 CD011593 168.75 3,206.25 10-27-2009 CD011912 .00 320.63 TOTAL TAX PAYMENT 3,695.63 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 * IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED A5 A "CREDIT" CCR), YOU MAY BE DU FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.