HomeMy WebLinkAbout05-17-10NOTICE OF INHERITANCE TAX
~~ ~~^f-~P~~~~ NT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXE'~'~ r,, t , ~ j; #'
INHERITANCE TAX DIVISION ~ ~ ~~ .- +~~ ~~ ~E CTIONS AND ASSESSMENT OF TAX
PO BOX 280601 ~,„ "" ' ,~~
HARRISBURG PA 17128-0601 t`t~ ~:~., ~ --~ i t~~ '"~~
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ANTHONY L DEL ~ ~+~ v~~.~~T
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113 FRONT ST '
PO BOX 358
BOILING SPRINGS PA 17007
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DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-09)
DATE 05-10-2010
ESTATE OF DASHER MARTHA H
DATE OF DEATH 11-17-2p08
FILE NUMBER 21 08-1217
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: p7-09-2010
(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 E~-
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REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: DASHER MARTHA HFILE N0.:21 08-1217 ACN: 101
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OR
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) •0 0 NOTE• To ensure proper
2. Stocks and Bonds (Schedule B) (2) .0 0 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .0 0 submit the upper portion
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) 22,690.08
6. Jointly Owned Property (Schedule F) (6) 67,811.31
7. Transfers (Schedule G) (7) .0 0
8. Total Assets c8) 90 , 501 .39
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 4,6 7 9.0 3
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 6 4.8 3
11. Total Deductions C11) 4, 743.86
12. Net Value of Tax Return C12) 85, 757.53
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax (14) 85,757.53
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) 85. 757.~~ x 045 ~= 3,859.09
17. Amount of Line 14 at Sibling rate (17) _ 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)= 3,859.09
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
12-04-2009 CD012070 57.63- 3,918.3!0
TOTAL TAX PAYME T 3,860.67
BALANCE OF TAX UE 1.58CR
INTEREST AND PEMV. .00
TOTAL DUE 1.58CR
* 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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