HomeMy WebLinkAbout04-30-10NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TaxES AP.PRA3•+S~fL,~J{ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~ OF ~DEDUGI~I9NS AND ASSESSMENT OF TAX
PO BOX 286601 ~ - J-
HARRISBURG PA 17128-0661 ' "
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RONALD E JOHNSON E~~,,+~~- ';~ `~` Fri,
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ANDREWS ~ JOHNSON
78 W POMFRET ST
CARLISLE PA 17013
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-69)
DATE 04-26-2010
ESTATE OF ETTER SR RICHARD M
DATE OF DEATH 08-12-2006
FILE NUMBER 21 09-0954
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 06-25-2010
(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 E~ - --------------
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REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: ETTER SR RICHARD MFILE N0.:21 09-0954 ACN: 101 DATE: 04-26-2010
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) [1) 12,863.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) l2) .00
credit to your account,
00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) t3) . of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) .DO
6. Jointly Owned Property (Schedule F) ~:6) .00
7. Transfers (Schedule G) t7) .00
s. Total Assets cs) 12,863.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) tq) 14.138.6 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .00
11. Total Deductions (11) 14,138.60
12. Net Value of Tax Return C12) 1,275.60-
13. Charitable/Governmental Bequests; Nonelected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 1 s275.60-
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 (15) •00 X 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) _00 x 045 = .00
17. Amount of Line 14 at Sibling rate (17) _00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 - .00
19. Principal Tax Due (19)= .00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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