HomeMy WebLinkAbout05-17-10NOTICE OF INHERITANCE TAX ~ennsy van~a ~
APPRA~S;EM~~~'; ~~-C'T~R~IE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION OF D~~.I~~~Q~S ,d~,ASSES$MENT OF TAX REV-1547 EX AFP C12-09)
PO BOX 280601 ~~~.ti~::.''~i~-~ '~.:~ ;I~~.:~ _
HARRISBURG PA 17128-0601
~~~~ ~~~ ~ -~ ~~ ~: ~~ATE~ 05-10-2010
STATE OF OGLESBY MURLENA
DATE OF DEATH 11-24-20b8
~.~~~ ~~ FILE NUMBER 21 09-007
~~~~~~ C'~~JR;' COUNTY CUMBERLAND
LINDA D LEWIS ~~~~~'~~''~i_~~}~~~' ~~~, ~~: ACN 101
533 7TH ST APPEAL DATE: 07-09-2010
NEW CUMBERLAND P A 17 0 7 0 (See reverse side under Objections )
Amount Remitted l
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 ~ __ ________________
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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: OGLESBY MURLENA FILE N0.:21 09-0057 ACN: 101 DATE: 05-10-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
A)
l
(S
h
d
(1)
.0 0
NOTE: To ensure proper
u
e
c
e
1. Real Estate
dule B)
(S
h
d
d B C2) .Q 0 credit to your account,
e
c
on
s
2. Stocks an
rtnership Interest (Schedule C)
k/P
ld St
C3) .0 0 submit the upper portion
f this form with your
oc
a
3. Closely He
4. Mortgages/Notes Receivable (Schedule D) (4) .0 0 o
tax payment.
Personal Property (Schedule E)
c
it
/Mi
D C5) 1,4 5 2.2 2
5. s
.
s
epos
Cash/Bank
(Schedule F)
t
d P (6) .0 0
6.
7. roper
y
Jointly Owne
Transfers (Schedule G) (7) .0 0
C8) 1 , 452.22
8. Total Assets
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 9.5 21.0.0
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .00
C11) 9,521.00
11. Total Deductions 8, 068.78-
12. Net Value of Tax Return C12)
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
t t
T (14) 8,068.78-
14. ax
o
Net Value of Estate Sub]ec
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 a nd 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) .0 0 x 04 5 = .0 0
17. Amount of Line 14 at Sibling rate C17) .00 X 12 '° .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .0 0 X 15 •- .0 0
C19)' .0 0
19. Principal Tax Due
TAY f D CTITTC
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX UE .00
INTEREST AND PAN. .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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