HomeMy WebLinkAbout05-21-10OF INHERITANCE TAX
~±~' ~~'. ~ ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES M.,r C~
INNERITANCE TAX DIVISION r' ~ Dli~O~IS ADD A~SEBSME~T OF fiAX
PO BO)( 240601 Lx
HARRISBURG PA 17128-0601
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JAMES D HUGHES ESQ~~~.~~'~~
SALZMANN HUGHES
354 ALEXANDER SPRING
CARLISLE PA 17015
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DEPARTMENT OF REVENUE
REV-1547 IX AFP C12-09)
DATE 05-17-2010
ESTATE OF BLACK GLENN W
DATE OF DEATH 03-29-2009
FILE Nl~MBER 21 09-0360
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 07-16-2010
(See reverse stile under Objecdions)
Auount Rs~itted ~~
MAKE CHECK l~AYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~- RETAIN LDWER PORTIQN FOR YOUR'
• - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - RECaRDS ~
REV-1547 EX AFP C1Z-09~ NOTICE OF INHERITANCE TAX APP r. - - - -'
RAISEM - - - - - - - - - - - - - -
NT, ALLOWANCE - - - - - - - - - - - - - - - - -
OR
DISALLOWANCE OF DEDUCTIONS AND ASSES MENT OF TAX
ESTATE OF: BLACK GLENN WFILE N0.:21 09-03b0 _ ~ 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)_ 504, 000.00 NOTE: To ensure prop®r
2. Stocks and Bonds (Schedule B) C2) 70,498.53 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .0 0 submit the upper portion
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) 117, 725.99
6. Jointly Owned Property CSchadule F) C6) 20 , 902.96
7. Transfers tSchedule G] C7) 60 , 471.48
8. Total Ascots C8) 773,598.9b
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Cg) 6 7.4 9 3.16
10. Debts/Mortgage LiabilitieslLiens CSchodula I) C10) 3,9 1 9,7 1
11. Total Deductions C11) 71,41.2.87
12. Net Value of Tax Return C12) 702,1 R. 09
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) 1 Q,DO 0.0 0
14. Net Value of Estate Subject to Tax C14) _ 692, 18b . 09
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 return s 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 Linsal/Class A rate C16) 6~ i? .18.6 _ Q9 X 045 31 , 148` 37
17. Amount of Line 14 at Sibling rate C17)~_, . [1A X 12 ° . 00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 = .0 0
19. Principal Tax Due C19)= 31 148.37
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
Ob-19-2009 CD011376 1,394.74 26,500.0
12-28-2009 CD012153 .00 3,085.02
tnitKtsi 1, GHAKGtL IMKOUGN 06-01-2010
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT 30,979.76
BALANCE OF TAX DUE 168.61
INTEREST AND PEN. 2.87
TOTAL DUE 171.48
* 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 FORN FOR INSTRUCTIONS.
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