HomeMy WebLinkAbout05-28-10-~NQ~~~ INHERITANCE TAX ~~'1t1S~/~Vd111~
r~; ~ {'
BUREAU OF INDIVIDUAL TAXES ~PPR~A~~E~N~T',' "LOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
r ,~t
INHERITANCE TAX DIVISION ~`~S.~~~Y.~T~~~. AND ASSESSMENT OF TAX REV-1547 EX AFP C12-09)
PO 80X 280681
N*RRISdURG PA 17128-0601 QQ
~~~Q~~~ ~V P~ ~' ~~ DATE 05-24-2010
ESTATE OF HAIR JULIA A
Ci~.~ ~ DATE OF DEATH 07-07-2009
~~'~ ~;~~ FILE NUMBER 21 09-0715
ROBERT R BLACK ~~~~~-~ ~~•. ACNNTY lO1BERLAND
36 S HANOVER ST APPEAL DATE: 07-23-2010
CA R L I S L E P A 17 013 (See reverse side under Ob,~ections )
Amount Re~~tted -~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS !*'~
- - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - '°'- - - - - - - - - - - - -
- - - - - - - - - - - " - - - - -
- - - - r r - - - s - - - - ~ - - r - - - - - ~ - - - -
REV-1547 EX AFP C12-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: HAIR JULIA AFILE N0.:21 09-0715 ACN: 101 DATE: 05-24-2010
TAX RETURN WAS: C X) ACCEPTED AS :FILED C ) CHAWGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1)_ 161,229.6D NOTE: To ensure proper
2. Stocks and Honds (Schedule B) C2) .0 p credit to your account,
submit the upper portion
3. Closely Held Stock/Partnership Interest CSchadula C) C3) .0 0 of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) •0 ~ tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 113, 997.19
6. Jointly Owned Property (Schedule F) C6) 14, 722 .48
7. Transfers (Schedule G) C7) .0 0
8. Total Assets C8) 289,949.27
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Cg) 1 7.958..3 1
10. Debts/Mortgage Liabilities/Liens (Schedule I) t10) 3 6 7.58
11. Total Deductions C11) 18,325.89
12. Net Value of Tax Return C12) 271 > 6 3.38
13. Charitable/Governmental Bequests; Nonelected 9113 Trusts (Schedule J) C13) ~_,-
14. Net Value of Estate Subject to Tax C14) 271,62,_ 3
NOTE: If an assess~ent was issued previously, lines 14, 15 and/or 16, 17 , 18 and 19 will
reflect fiaurss that include th® total of ALL returns assess®d 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) 27!1 .623_ B x 045 = 12,223.05
17. Amount of Line 14 at Sibling rate C17) _d 0 X 1 2 ~ .0 0
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 1 5 g .0 0
19. Principal Tax Due C19 )= 12,223.05
TAY [_R Fl] i TS :
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
10-05-2009 CD011833 557.89 10,600.00
01-21-2010 CD012271 .00 1,065.17
TOTAL TAX PAYMENT 12,223.06
BALANCE OF TAX DUE .O1CR
INTEREST AND PEN. .00
TOTAL DUE .O1CR
* 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. ~~,~f1