HomeMy WebLinkAbout05-28-10NOTICE OF I R~TANCE TAX pe~~sylvania
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APPRAI N~?~~`Al~,~ ~` OR DISALLO?WANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ~ t'w-
INNERITANCE TAX DIVISION OF DE1~. ~'~~.Q'~+dN~;~SESSMENT OF TAX REV-1547 EX AFP C12-09)
PO BOX 280601 '.~ ~ ;5,;, ~~„~I'J ` ~..i t '~f~
HARRIS8UR6 PA 17128-0601
~~~~~A~ ~8 P~ ~~,~ 05-LTONOIII JOHN F
ESTATE OF CHI
~rK ~ DATE OF DEATH O 1-13 - 2 0 0 9
~~~~~t~ ~~~ILE NUMBER 21 09-1140
JAMES D FLOWER JR ESQ ~~~~~ ~~„ UNTY CUMBERLAND
N 101
" SAIDIS ETAL .~ APPEAL DATE: 07-23-2010
2 6 W H I G H S T (See reverse side tender ObJections )
CARLISLE PA 17013 Amount Remitted ~-
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONC THIS LINE ~- RETAIN LOWER PORTION FOR YOUR RECORDS 4-
- - - - ~ - r -.- - - - - - - ~ - - - - - - - - - - - - - - - - ~--- r - - - - - - - - '~ - - - - - - - - - - - - - - - - - - -.- - - - - - - - - - - - - - - - - - - - - - - - - - - -
REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: (HILTON III JOHN FFILE N0.:21 09-1140 ACNs 101 DATES 05-24-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED YALUE OF RETURN BASED ON: ORIGINAL RETURN
58, 000.00 NOTE: To ensure proper
1. Reel Estate (Schedule A) C1)
2. Stocks and Bonds (Schedule B) C2) .0 0 credit to your account,
.0 0 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) of this form aith your
4. Mortgages/Notes Receivable (Schedule D) C4) •0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) .0 0
6. Jointly Owned Property (Schedule F) C6) .0 0
7. Transfers (Schedule 6) (7) .0 0
8. Total Assets C8) 58, 000.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (y) -~ 4
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .00
11. Total Deductions C11) .0 0
12. Net Valu• of Tax Return C12) 58,.000.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) ~~,~ .0 0
14. Net Value of Estate Subject to Tax C14) _,000.00
NOTE: If an assessment was issued previously, lin®s 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) 58, 000.00 X 00 a . 00
16. Amount of Lina 14 taxable at Lineal/Class A rate C16) -4 4 x 04 5 ~ .0 0
17. Amount of Line 14 at Sibling rate C17) -Q D X 12 ~ .0 0
18. Amount of Line 14 taxsble at Collateral/Class B rats C18) .0 0 X 1 5 = .0 0
19. Principal Tax Due C19)~ .0 0
TAX CREDITS:
I P DATENT I RNUMBER I INTEREST/PEN PAID (-) I AMOUNT PAID I
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADbITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A °CREDIT" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ,,, n