HomeMy WebLinkAbout03-26-10NOTICE OF INHERITANCE TAX Pennsylvania ~
BuREau of INDIVIDUAL raxES AR""PRA,~SEMEMT,, ,ALLOWANCE OR DISALLOWAIVCE
INHERITANCE TAX DIVISION OF DEDUCTf'ONS-~-AND ASSESSMENT OF Tq,X DEPARTMENT OF REVENUE
PO BOX 280601 REV-1547 EX AFP (12-09)
HARRISBURG PA 17128-0601 _ '
WILLIAM N JAMIESON
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MECHANICSBURG PA 17055
DATE 03-22-2010
ESTATE OF KLINE RAVENDA W
DATE OF DEATH 07-14-2009
FILE NUMBER 21 09-0674
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 05-21-2010
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PI'S 17013
CUT ALONG THIS LINE ~') --RETAIN LOWER PORTION FOR YOUR
REV-1547 EX AFP RECORDS ~
C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE
DISALLOWANCE O
--------------
OR
F DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: KLINE
RAVENDA WFILE N0.:21 09-0674 AC:N: 101 DATE: 03-22-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B) C1) .00 NOTE: To ensure proper
3. Closely Held Stock/Partnership Interest (Schedule C) C2) 1'209.78 credit to your account,
submit th
I3)
4. Mortgages/Notes Receivable (Schedule D) - 00 e upper portion
of this form with your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 97
219,787 tax payment.
6. Jointly Owned Property (Schedule F) ,
7. Transfers (Schedule G) C6) .00
c7) .00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: ce) 220.997 75
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I) (9) 8'358_0
n.o) 89.76
II
. Total Deductions
12. Net Value of Tax Return C11) 8,447.79
13. Charitable/Governmental Bequests; Non-elect
d 9 C12) 212,54 9.96
14. Net Value of Estate Subject e
113 Tr
to Tax usts (Schedule J)
I13) .00
NOTE: If an assessment was issued previously
li C14) 212,549 96
reflect figures that ,
include the tot
l nes 14,
n
~
7 and 19 will
ASSESSMENT OF TAX: a
of ALL returns ass
ssed
to
d to
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate ~ 00 X 00 = . 00
17. Amount of Line 14 at Sibling rate (16) 71 ~ X49
LCL X 045 = 9,564.75
18. Amount of Line 14 taxable at
Collateral/Class B cln p~ X 12 = . 00
19. Principal Tax Due rate (18) .IDO X 15
=
.00
TAX CREDITS: C19)° 9,564.75
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
09-29-2009 CD011816
478.24 9,086.51
TOTAL TAX PAYMENT
9,564.75
BALANCE OF TAX DUE .00
INTEREST ANI) PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS q "CREDIT" CCR), YOU MAY BE DU
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~+E