HomeMy WebLinkAbout05-17-10BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
AP~i?R~~tS~l~Et~~m,,A~~-~WANCE OR DISALLOWANCE
'QF~ D,~1~~iC7`T'QN§, ~IND ASSESSMENT OF TAX
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2~?I~ MAY 17 Pty 2= 36
CLERK CF
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KIERAN CAVRICH CUh_.~'~'_ ~~~:. a~: (`!? ~A.
836 STONYBROOK LN
LEWISBERRY PA 17339
cl) .00
(2) .00
c3) .00
c4) .00
c5) .00
(6) 20 , 964.12
C7) .00
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: HINE ELIZABETH FILE N0.:21 09-1145 ACN: 101 DATE: 05-10-2010
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Sank 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)
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-09)
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
cs) 20 , 964.12
(q) 9.689.00
clo) .00
11. Total Deductions (11) 9,689.00
12. Net Value of Tax Return (12) 11,275.12
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) 11,275.12
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) .00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) l7 7~.1 X 045 = 507.38
17. Amount of Line 14 at Sibling rate (17) .00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B ra te C18) .00 X 15 - .00
19. Principal Tax Due C19)= 507.38
TAX CREDITS:
DATE
12-11-2009
05-03-2010
NUMBER
SBADJUST
DATE 05-10-2010
ESTATE OF HINE ELIZABETH
DATE OF DEATH 10-21-2009
FILE NUMBER 21 09-1145
COUNTY CUMBERLAND
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 SQUARE
CARLISLE PA 17013
.00
0.68
1.40
TOTAL TAX PAYMENT 507.38
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
DISCOUNT (+)
AMOUNT PAID
INTEREST/PEN PAID C-)
* 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 DF THIS FORM FOR INSTRUCTIONS. ~i