HomeMy WebLinkAbout05-07-10NOTICE OF INHERITANCE TAX pennsy van~a ~
- ..
BUREAU OF INDIVIDUAL TAXES APPI~A,,~:: ;e'~I~~T~-~;~( {~~,ANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF~:~Ca~31~:~;T~ItQI'~~i! ~D ASSESSMENT OF TAX REV-1547 EX AFP (12-09)
PO BOX 280601 } ~L-`-~F~~1~ ~-~ ~ ~%~ ; °~u ~ `-'
HARRISBURG PA 17128-0601
~Q~~~~Y -~ a~ ~~; 08 DATE 05-03-2010
ESTATE OF DEBIASE NICOLE M
C~~~'i~ ~~ DATE OF DEATH 04-08-20p8
~~~,~ ~~«~Y FILE NUMBER 21 08-1011
BERLAND
NTY
~rl~~~~~4t
~~~~ ~
~
~~
,
DANNIE DEBIASE
-~
~~
~ ACN
lO1
9219 CAPRIVA CIR APPEAL DATE: 07-0 2-2010
S T P E T E BEACH F L 3 3 7 0 6 (See reverse side under Objections )
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT-AL
--- -- ONG THIS LINE---- ~ -RETAIN LOWER-PORTION-FOR YOUR RECORDS ~ --
------------- ------ ------------ ------- --------------------- --------------
---
REV-15 47 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: DEBIASE NICOLE MFILE N0.:21 08-1011 ACN: 101 DATE: 05-03-2010
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/Partnership Interest (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) C5) 10,486.59
6. Jointly Owned Property (Schedule F) C6) •0 p
7. Transfers (Schedule G) C7) •0 0
8. Total Assets C8) 10 , 486.59
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 17.4 2 7.19
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 10,299.44
11. Total Deductions C11) 27, 726.63
12. Net Value of Tax Return C12) 17,240.04-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax C14) 17,240.04-
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 x 0 4 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 C19)= .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.
d~~l