HomeMy WebLinkAbout06-04-10BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
Po Banc 2ae6o1
WIRRIS6UR6 PA 17128-0681
H ANTHONY ADAMS
49 WEST ORANGE ST
SUITE 3
SHIPPENSBURG
NOTICE OF INHERITANCE TAX fi1Sj/~V~11"~a
APPRAI E -~., DWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
~`~~~~C~~ANfl ASS~SSNENT D~-'TAX REV-1547 EX AFP C12-o4)
~~~Q ~~,~ ~4 ~l~I ~1" ~ ~ DATE 05-31-2010
ESTATE OF KELSO JR CARL
DATE OF DEATH 02-01-2007
~~~ FILE NUMBER 21 07-0720
COUNTY CUMBERLAND
~`. ~
' ACN 101
APPEAL DATE: 07-30-2010
(See reverse side under Ob, jec~iti~s )
PA 17257 Amount Re~itted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG TNI$ LINE ~- RETALN LOWER PORTION FOR YOUR RECORDS ~ ___________
REV-1547 EX AFP C12-09) NOTICE OF INHERITANCE TAX APPRAISE~IENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OFs KELSO JR CARL FILE N0.:21 07-0720 ACN: 101 IlATEs 05-31-2010
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
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NOTE: To unsure proper
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dule B)
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"'~"~' crodit to your account,
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2. Stocks an
klPartnershipIntyrest CSchvduly C)
ld St
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f this form with your
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3. Closely
ceivably CSchvduly D)
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t C4) .0 0 o
tax payment.
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a
ys
4. Mortgages
Personal Property CSchedule E)
/Misc
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5. Cash/
CSchedule F)
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i C6) .0 0
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6. Jo
7. Transfyrs CSchedule 6) C7) .0 0
c8) 2,480.00
B. Total Assets
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expvnsvs CSchedule H) Cg)., .0 Q
10. Debts/Mortgage Liabilities/Liens CSchvduly i) Cia) •Q 0
C11) .O D
11. Totsi Deductions 4$0.00
2
12. Not Value of Tax Return C12) ,
-ylected 9113 Trusts
N
t
l B CSchedule ~
J) C13) _.z~ 0
13. s;
on
eques
Charitable/Governmenta _,~,~„ ~,
t to Tax
S
b
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t C14) 48
0
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14. u
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Net Value of Es ~
~
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 a nd 19 will
reflect figures that include the total of ALL returns assesa~d to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate C15) 2 ,,480 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) _0 0 x 0 4 5 = .0 0
17. Amount of Line 14 at Sibling rate C17) , - d4 X 12 = . 00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .00 )C 15 = .00
19. Principal Tax Due C19)= .0 0
TAX CREDITS:
PAYMENT RECEIPT I INTEREST/PEN PAID C-) ~ AMOUNT PAID
DATE NUMBER
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREffiT AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU NAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REYEI~SE SIDE OF THIS FORN FOR INSTRUCTIONS.