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HomeMy WebLinkAbout05-28-10~...-`~,-~ ICE OF INHERITANCE TAX pe~r~sylvan~e '" ~%~'-~~'il~ 'ENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE ~: BUREAU OF INDIVIDUAL TAXES~_~ ~ `''-'~~ r- CTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP Clz-o9~ INHERITANCE TAX DIVISION ~ " ~. ~ ',' PO EOX 280601 ''" ~~~~"w' i '', ~ NARRISdtBt6 PA 17128-0601 +~ *~ ~tA~ ~g PM ~' '~`~ DATE 05-24-2010 ~V`~~ n ESTATE OF SERVIENTE MARTHA E ~tc~K ~~ DATE OF DEATH 10-03-2009 ~~~ FILE NUMBER 21 09-0956 C~~~~~ ~~ , COUNTY CUMBERLAND PAT FISCHER ~- ACN 101 b06 WOODLAND AVE APPEAL DATE: 07-23-2010 MT H 0 L L Y SPRINGS PA 17 0 6 5 (See reverse side under Objections ) Amount Ra~ittod MAKE CHECK PAYAbtE AND REMIT PAYMENT T0: REGISTER Of WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 RETAIN_LOWER_P~RT'ION_FOR ~- CUT ALONG THIS LINE _YOUR_RECORDS_ !~ __ _________________ _ __ ~ ~ / ~ ~ ~ ~ ! ~ ~ ~ ~ ~ ~ ~ ~ M - ~ ~ ~ REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISENEN T, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESISM -ENT OF TAX ESTATE 0F: SERVIENTE MARTHA EFILE N0.:21 09-0956 ACN: 101 DATE: 05-24-2010 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate CSchadula A) C1) •0 ~ NOTE: To ensure proper (2) 105, 020.00 credit to Your account, 2. Stocks and Bonds CSchadula B) submit the upper Portion 3. Closely Hald Stock/Partnerahiplnterest (Schedule C) C3) .0 0 of this fora with your 4. Mortgages/Notes Receivable (Schedule D) C4) .0 0 tax payaant. 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 5,5 9 0.00 6. Jointly Owned Property CSchadula F) C6) 2, 100.55 7. Transfers CSchadula G) (~) .0 0 s. Total Assets C8) 112,710.55 APPROV ED DEDUCTIONS AND EXENPTIONSs 9. Funeral Expenses/Ada. Costs/Misc. Expanses (Schedule H) Cg) ~ 5.12 6.0 0 10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 4,23 7.0 0 C11) 9,363. QO 11. Total Deductions 347 .55 103 12. Nat Value of Tax Return C12) , 13. Charitable/Govarnaantal Bequests; Non-elected 9113 Trusts CSchadula J) C13) .0 0 14. Nat Value of Estate Subject to Tax C14) 103s347-%,5~5 NOTE: If an assess^®nt was issued previously, lines 14, 15 and/or 16, 17 , 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESS MENT OF TAX: 0 0 0 0 = .00 15. Aaount of Line 14 at Spousal rate C15) • X 16. Aaount of Line 14 taxable at Lineal/Class A rate C16) ~ 1 ~3 .347 _ 55 X 045 = 4, 650.63 17. Aaount of Line 14 at Sibling rate C17) .0 0 X 1 2 ° .0 0 18. Aaount of Line 14 taxable at Collateral/Class B rata C18) .0 0 X 1 5 = .0 0 19. Principal tax Due C19 )= 4, 650.63 ~r~v ,+e rnT~re. PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTERESTIPEN PAID C-) AMOUNT PAID 01-20-2010 CD012251 .00 3,719.00 01-20-2010 CD012252 .00 931.63 TOTAL TAX PAYMENT 4,650.63 BALANCE OF TAX DWE .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~~V~'~ FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS./~~`