HomeMy WebLinkAbout05-17-10NOTICE OF INHERITANCE TAX
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INHERITANCE TAX DIVISION ,4 ~-~~, ~,1 < ;t: ';(}~~ SEDUCTIONS AND ASSESSMENT OF TAX
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HARRISBURG PA 17128-0601
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ANDREW H SHAW LAW OFC
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CARLISLE PA 17013
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DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-09)
DATE 05-10-20',10
ESTATE OF CAMPBELL'. QUINTEN D
DATE OF DEATH 02-12-201,08
FILE NUMBER 21 08-01'93
COUNTY CUMBERLAIND
ACN 101
APPEAL DATE: 07-09-2010
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND'REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARIE
CARLISLE PA 17013
CUT ALONG THIS LINE _ ~ R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS ~ _
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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: CAMPBELL QUINTEN DFILE N0.:21 08-0193 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) 11 , 138.6'0 MOTE: 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) 5 0.0'..0
6. Jointly Owned Property (Schedule F) (6) .OD
7. Transfers (Schedule G) (7) .0 0
8. Total Assets c8) 11 , 188 .60
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 2 9 3.0 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) •Q 0
11. Total Deductions C11) 293.00
12. Net Value of Tax Return C12) 10,895.60
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Sub]ect to Tax C14) 10,895.60
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 asses sed 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) 10,895.60 x 00 ~_ .00
c16) . oo x 045 _ . 00
c17) . oo x 12 _ . 00
C18) .00 x 15 .00
C19)= _ nn
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX PAYME T .00
BALANCE OF TAX UE .00
INTEREST AND P N. .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.