HomeMy WebLinkAbout03-26-10-,NO-TICS OF INHERITANCE TAX
BUREAU OF INDIVIDUAL raxES APPRAI~SEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION OFDEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601
HARRISBURG PA 17128-0601
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SAIDIS FLOWER ~ LINDSAY
26 W HIGH ST
CARLISLE PA 17013
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-09)
DATE 03-22-2010
ESTATE OF BROWN OLIVE R
DATE OF DEATH 06-29-2009
FILE NUMBER 21 09-0723
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 05-21-2010
(See reverse side under Objections)
Amount Remittecl
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF~ WILLS
1 COURTHOUSE SQUARE
CARLISLE F'A 17013
CUT-ALONG THIS LINE ~-l--RETAIN LOWER PORTION
REV-1547 EX AFP C12-09~ FOR YOUR RECORDS •-
NOTICE OF INHERITANCE TAX
DISALLOWANCE OF DEDUCTIONS APPRAISEMENT, ALLOWANCE
--------------
OR
ESTATE OF: BROWN AND ASSESSMENT OF TAX
OLIVE RFILE N0.:21 09-0723 ACN: 101 DATE: 03-22-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHAIJGED
APPRAISED VALUE O
F RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B) cl) 11:1,992.00 NOTE: To ensure
Proper
3. Closely Held Stock/Partnership Interest (Schedul (2) .00 credit to your account,
e C)
4. Mortgages/Notes Receivable (Schedule D) c3) .00 submit the upper portion
of this form with
Your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) c4) , 00 tax payment.
6. Jointly Owned Property (Schedule F) C5) 18,762.93
7. Transfers (Schedule G) C6) .0 0
8. Total Assets
c~) .00
APPROVED DEDUCTIONS AND EXEMPTIONS: cB) 132,754 93
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I) (9)
11 Total D clo) 552.51
• eductlons
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
NOTE: If an assessment was issued previously, lines 14, 15
reflect figures that include the total of ALL return
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
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
' """^' RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-)
08-31-2009 CD011698
09-22-2009 CD011779 263.16
25.79
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION DF ADDITIONAL INTEREST.
clr) 4,330.74
c12) 128,424.19
c13) . 00
c14) 128,424 19
and/or 16, 17, 18 and 19 will
s assessed to date.
cis) .00 X
C16) 1 ?8 G7G 1~ X
c 17 ) .O.IL x
cls) , 00 X
AMOUNT PA:[D
Oi00. 00
490.14
00 = .00
045 = 5,779.09
12 = .00
15 = .00
c19)= 5,779.09
TOTAL TAX PAYMENT
5,779.09
BALANCE OF T'AX DUE
.00
INTEREST AN;D PEN. .00
TOTAL DUE .00
IF TOTAL DUE IS REFLECTED AS ,4 "CREDIT" CCR), YOU MAY BE D}
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. i~