HomeMy WebLinkAbout05-17-10BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
,., LOWANCE OR DISALLOWANCE
~~-~~~'E`DE C ~(~S AND ASSESSMENT OF TAX
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26 W HIGH ST
CARLISLE PA 17013
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DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-09)
DATE 05-10-20''10
ESTATE OF GOUGH ANTOINETT S
DATE OF DEATH 01-14-20105
FILE NUMBER 21 05-09165
COUNTY CUMBERLAIND
ACN 101
APPEAL DATE: 0',7-09-2010
(See reverse side under) Objections)
Amount Remitted
MAKE CHECK PAYABLE AND', REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARIE
CARLISLE PA 1701'3
FOR YOUR RECORDS
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REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWAwCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: GOUGH ANTOINETT SFILE N0.:21 05-0965 ACN: 101 DATE: 05-10-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .OD NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) .0 0 credit to your account,
0 p submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .
I of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) •O
~O tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) .0''0
6. Jointly Owned Property (Schedule F) ((,) 1 , 351.64
7. Transfers (Schedule G) (7) .0 0
8. Total Assets C8) 1 , 351.64
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 3,0 2 5.0 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .~ D
11. Total Deductions C11) 3, 025.00
12. Net Value of Tax Return C12) 1,673.36-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax (14) 1,673.36-
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 C16) .0 0 x 04 5 = .0 0
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 C19)~ .00
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
TOTAL TAX PAYME T .00
BALANCE OF TAX UE .00
INTEREST AND PE~1. .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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