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HomeMy WebLinkAbout05-21-10t,-..._,,.,~, ,__.~NOTICE OF INHERITANCE TAX pennsy van~a ~ BUREAU OF INDIVIDUAL TAXES A~P~Rp~'Sr'k~h~;~-~T;; ;''7~k~LOWANCE OR DISALLOWANCE ~ f ~ DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION "` ' ~©F'~..T,~EDUC~~;Q~S AND ASSESSMENT OF TAX REV-1547 EX AFP C12-09) PO BOX 280601 r•.. ~'-a .. r '--< < ~ ' ~ `- ~ ~ ~ ~: HARRISBURG PA 17128-0601 ~~~~ ~~~ ~ ~ ~~# ~~~ ~ l DATE 05-17-2010 ESTATE OF JANTZEN DENNIS H ~ ~ ~ DATE OF DEATH 09-29-2009 P~--~;{;~Jc~ ,~ T FILE NUMBER 21 09-1032 MURREL WALTERS I I~~~~$Q-r -''`!` ~ ,'~ , Qom. COUNTY CUMBERLAND - ACN 101 54 E MAIN ST APPEAL DATE: 07-16-2010 M E C H A N I C S B U R G P A 17 0 5 5 (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 -- ~ 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: JANTZEN DENNIS HFILE N0.:21 09-1032 ACN: 101 DATE: 05-17-2010 TAX RETURN WAS: Cx) ACCEPTED AS FILED C ) CHANGED APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) C1) •0 0 NOTE• To ensure proper 2. Stocks and Bonds (Schedule B) (2) .0 0 credit to your account, .submit the upper portion 3. Closely Held Stock/Partnership Interest (Schedule C) C3) '0 0 of this form with your 4. Mortgages/Notes Receivable (Schedule D) C4) •0 0 tax payment. 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 10,341.01 6. Jointly Owned Property (Schedule F) (6) 55, 617.82 7. Transfers (Schedule G) (7) .0 0 8. Total Assets c8) 65 , 958 .83 APPROV ED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q) 1.8 6 3.0 0 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 8 8 8.5 2 11. Total Deductions (11) 2,751.52 12. Net Value of Tax Return C12) 63,207.31 13. Charitable/Governmental Bequests; Non-elected 9113 Tr usts (Schedule J) C13) .0 0 14. Net Value of Estate Subject to Tax C14) 63,207.31 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) .0 0 X 0 0 - .0 0 16. Amount of Line 14 taxable at Lineal/Class A rate C16) 63 , 07 . X 045 = 2, 844.33 17. Amount of Line 14 at Sibling rate C17) .0 0 X 12 - .0 0 18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 - .0 0 19. Principal Tax Due (19)= 2,$44.33 TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID C-) AMOUNT PAID 12-28-2009 CD012152 142.22 2,702.11 TOTAL TAX PAYMENT 2,844.33 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. ~CJ-~„