HomeMy WebLinkAbout05-17-10~`; ~'~f t'~; ,^;~i~! FI OF INHERITANCE TAX
~.~' ~-~ .~AI'$~LIF~, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES i~%~-,~.~~y:~~',;.~`'''~~'IONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
24~Q MAY { 7 P~ ~~ 32
GLER~C J~
MICHELE E CALZK
4 MOUNTAIN VIEW DR
ENOLA PA 17025-1531
C2) • OI O
C3) .0 ~0
C4) .O iO
C5) 43, 929.0
C6) . 01 0
C7) . 010
CUT-ALONG-THIS-LINE - -- ~ --RETAIN LOWER PORTION 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 TALC
ESTATE OF: CALIK ROBERT AFILE N0.:21 08-1171 ACN: lal 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) C1) •Olb NOTE: To ensure proper
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests;
14. Net Value of Estate Subject to Tax
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-09)
credit to your account,
submit the upper portion
of this form with your
t:ax payment .
c8) 43,929.02
C9) 9 .428 . d2
Clo) 24,321.2
C11) 33,749.24
C,12) 10, 179.78
Non-elected 9113 Trusts (Schedule J) C13) .0 0
NOTE: If an assessment was issued previously,
reflect figures that include the total
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
DATE 05-10-20'..10
ESTATE OF CALIK ROBERT A
DATE OF DEATH 11-04-20108
FILE NUMBER 21 08-11171
COUNTY CUMBERLAIND
ACN 101
APPEAL DATE: 017-09-2010
(See reverse side unde~ Objections )
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS'
1 COURTHOUSE SQUARE
CARLISLE PA 1701'3
C14) 10, 179.78
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns assessed'to date.
C15) 10, 179.78 x 00 = . 00
C16) . oo x '045 = . 00
c17) . oo 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)= .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 .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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