HomeMy WebLinkAbout05-17-10NOTICE OF INHERITANCE TAX Pennsylvania ~
-~t~;-;/t~~;~Er"4~~„([~'~8t~'ENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXH~ `,~:
INHERITANCE TAX DIVISION ~,, QF `,DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (12-09)
PO BOX 280601 ~~~ ~~ '~, ' `~'t~F_~
HARRISBURG PA 17128-0601
~~~~~~~''~ ~~ ~~ 3J DATE 05-10-2010
ESTATE OF KOUGH LYRIAN I
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~~l`\~'' DATE OF DEATH 08-13-2009
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~A~ FILE NUMBER 21 09-0835
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ROBERT G FREY i p,~
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~J' ACN 101
FREY K TILEY APPEAL DATE: 07-0 9-2010
5 S HANOVER ST (See reverse side under Objections)
CARLISLE PA 17013 Amount Remitted~-
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ---- --! R_ETA_IN LOWER POR_TION
FOR YOUR RECORDS •-
REV-1547 EX AFP C12-09) NOTICE OF INHERITANCE _
_
TAX APPRAISEMENT, ALLOWANCE _____
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: KOUGH LYRIAN IFILE N0 .:21 09-0835 ACN: 101 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) (1) .00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) 1,644.00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C3 (3) .00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 57 6.00
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) (7) .00
8. Total Assets CS) _ 2.220.00
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) cy) 84 8.00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
I1. Total Deductions (11) 848.00
12. Net Value of Tax Return (12) 1 , 372.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Taz (14) _ 1,372.00
NOTE: If an assessment was issued previously,
reflec t 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
lines I4, 15 and/or 16, 17, 18 and 19 will
of ALL returns assessed to date.
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
1'AYMENI RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C-)
-30-2009 CD012048 _nn
(15) .00 X 00 = .00
c16)_ .00 x 045 = .00
C17) _ nn X 12 = , OQ
cis) 1,372.00 X 15 = 206.00
c19)= 206.00
AMOUNT PAID
206.00
TOTAL TAX PAYMENT 206.00
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. ^ 11