HomeMy WebLinkAbout05-07-10~dQ~.ICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES' y~"~~-'~A'I`~'T, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~''~{ ~ ., 0~ ~~#`~D~~,CTIONS AND ASSESSMENT OF TAX
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HARRISBURG PA 17128-0601
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DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-09)
DATE 05-03-20110
ESTATE OF BEHRENS RICHARD
DATE OF DEATH 06-22-201,09
FILE NUMBER 21 09-0732
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 017-02-2010
(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 ~-I-
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REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEM
ENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSES SMENT OF TALC
ESTATE OF: BEHRENS RICHARD FILE N0.:21 09-0732 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 cSchedule A) C1) •0 0 NOTE: To ensure proper
2. Stocks and Bonds cSchedule B) c2) .Q~Q credit to your account,
0'0 submit the upper portion
3. Closely Held Stock/Partnership Interest cSchedule C) c3) . of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) •~'~ tax payment.
5. Cash/Bank Deposits/Misc. Personal Property cSchedule E) c5) 10 0.0'0
6. Jointly Owned Property cSchedule F) (6) 49, 077.49
7. Transfers cSchedule G) (7) .0 0
8. Total Assets c8) 49 ,177.49
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses cSchedule H) c9) 10 0.0 0
10. Debts/Mortgage Liabilities/Liens cSchedule I) (10) •Q D
11. Total Deductions C11) 100.00
12. Net Value of Tax Return C12) 49, 077.49
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedu le J) c13) .0 0
14. Net Value of Estate Subject to Tax C14) 49, 077.49
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
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
c15) .00 x 00 = .00
c16) 49.077.49 x 045 = 2,208.49
cln . oo x 12 = . 00
cls) .00 x 15 = .00
c19)= 2,208.49
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
09-22-2009 CD011774 110.42 2,300.Ob
TOTAL TAX PAYME T 2,410.42
BALANCE OF TAX UE 201.93CR
INTEREST AND PE~1. .00
TOTAL DUE ' 201.93CR
* 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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