HomeMy WebLinkAbout05-21-10 (2)NOTICE OF INHERITANCE TAX pennsy van~a
APPt~ti~-~~~~~~,`~,~~~NCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION OF"~~D~I~xQ.N~}i!~liD ASSESSMENT OF TAX REV-1547 EX AFP C12-09)
PO BOX 280601 ~'~ i "- ' '~~ '~ r'"~ ~~ -~
HARRISBURG PA 17128-0601
~(~~~ ~~~ ~ ~ ~~ ~~; ~ (; DATE 05-17 - 2010
ESTATE OF EICHELBERGER JANE L
~~~,~~ DATE OF DEATH 03-15-2009
~~~,~ ~~~~~ FILE NUMBER 21 09-0284
~~~~~~ _~1~~~ ~~ P~ COUNTY CUMBERLAND
LISA MARIE COYNE ESQ ACN 101
COYNE K COYNE APPEAL DATE: 07-16-2010
3 9 01 MARKET S T (See reverse side u»der OBjectio»s )
CAMP HILL PA 17011-4227 A»ount Refitted
MAKE CHECK PAYABLE AMD REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~- RETAIN LOWER PORTION FOR YOUR RECORDS !~
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REV-1547 EX AFP C12-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: EICHELBERGER JANE LFILE N0.:21 09-0284 ACN: 101 DATE: 05-17-2010
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 243., 900.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) 1,0 8 6.0 0 credit to your account,
.00 submit the upper portion
3. Closely Hold Stock/Partnership Interest (Schedule C) C3) 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) C5) 59,388.87
6. Jointly Owned Property (Schedule F) C6) •0 0
7. Transfers (Schedule G) (7) 56 ~ 500.00
8. Total Assets C8) _~~0.874.87
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q) 52.4 1 7.8 7
10. Debts/Mortgage Liabilities/Liens (Schedule I) C1O) 175,892.25
11. Total Deductions C11) 228,310.12
12. Net Value of Tax Return C12) 132:564.75
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) 10.0 0 0.00.
14. Net Value of Estate Subject to Tax C14) 122,56_
NOTE: If an assess~ent was issued pr®viously, lines 14, 15 and/or 16, 17. 18 and 19 will
reflect fiEures that include the total of A_LL- returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate C15) .00 X 00 .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) l~~? ~64,~J5 X 045 = 5,515.41
17. Amount of Line 14 at Sibling rate C17) _0 0 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)= 5,515.41
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
12-23-2009 CD012147 .00 5,515.41
BALANCE OF UNPAID INTEREST/PENALTY AS OF 12-24-2009
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX PAYMENT 5,515.41
BALANCE OF TAX DUE .00
INTEREST AND PEN. 6.04
TOTAL DUE 6.04
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SYDE OF THIS FORM FOR INSTRUCTIONS.