HomeMy WebLinkAbout05-28-10NOTICE OF INHERITANCE TAX pennsy van~a ~
BUREAU OF INDIVIDUAL TAXES ~~~~ ~~~':~~ ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
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INHERITANCE TAX DIVISION OF' DEI~;U~TIONS AND ASSESSMENT OF TAX REV-1547 EX AFP C12-09)
PO BOX 280601 :- ~.- ~ ;~ ! i _„
HARRISBURG PA 17128-0601
~~~ ~~Y ~~ P ~ ~ ~ t~ DATE 05-24-2010
I ESTATE OF QUIGLEY CHARLOTTE W
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C)RPH~`~ uCURT
RONALD E JOHNS01'~~~' <<-!~ti~~ C~`„ ~~,
78 W POMFRET ST
CARLISLE PA 17013
DATE OF DEATH 02-14-2009
FILE NUMBER 21 09-0262
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 07-23-2010
(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
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: QUIGLEY CHARLOTTE WFILE N0.:21 09-0262 ACN: 101 _______________
OR
DATE: 05-24-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .0 0 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .0 0 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) 111 , 920.86 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 3,517.7 3
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) (7) .0 0
8. Total Assets c8) 115,438.59
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 14.0 2 8.7 6
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 287,416.98
11. Total Deductions C11) 301,445.74
12. Net Value of Tax Return (12) 186, 007. 15-
13. Charitable/Governmental Bequests; Non-elected 9113 Tr usts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax C14) 186, 007. 15-
NOTE: If an assessment
reflect figures
ASSESSMENT OF TAX:
was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
that include the total of ALL returns assessed to date.
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:
C15) . 00 X
C16) _ 00 X
C17) . 00 X
c18) . 00 X
00 = .00
045 = .00
12 = .00
15 = .00
c19)= . 00
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX PAYMENT .00
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.