HomeMy WebLinkAbout05-17-10NOTICE OF I~LiERITANCE TAX Pennsylvania ~
BUREAU OF INDIVIDUAL TAXES APPRAX~C~iE~i~}'° "A~~,~"0~11ANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF ,~fp~~~~ON~ {P,A~ ASSESSMENT OF TAX REV-1547 EX AFP C12-09)
PO BOX 280601 ~- - ~ `4-"
HARRISBURG PA 17128-0601
?~~D~~~ ~~ ~~ ~= ~JDATE 05-10-2010
ESTATE OF HESS DORIS A
~~~~~ ~~ DATE OF DEATH 05-26-2009
C~1~~~f~ay;~ ~~~~~~ FILE NUMBER 21 09-0559
~ ~ ,r,_r ,;-., r n GA COUNTY CUMBERLAND
BRADLEY L GRIFFIE ATTY Cu a~..' -"- ACN 101
200 N HANOVER ST APPEAL DATE: 07-09-2010
CARL I SL E PA 17013 (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 ~
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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: HESS DORIS AFILE N0.:21 09-0559 ACN: 101 DATE: 05-10-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
100,000.00 NOTE: To ensure proper
1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
.0 0 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 9,802.96
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) 3,487.05
B. Total Assets (8) 113,290.01
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 14.135.7 3
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 3,237.92
11. Total Deductions (11) 17,373.65
12. Net Value of Tax Return (12) 95,916.36
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 95,916.36
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) 95. 916.36 x 045 = 4,316.24
17. Amount of Line 14 at Sibling rate (17) .0 0 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .00 X 15 = .00
19. Principal Tax Due (19)= 4,316.24
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
12-01-2009 CD012056 .00 4,316.24
TOTAL TAX PAYMENT 4,316.24
BALANCE OF TAX DUE .00
INTEREST AND PEN. .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. ~~~'`~1