HomeMy WebLinkAbout06-04-10BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2i8'O1
HARRiS81~G PA 17128-0601
ROBERT G FREY
FREY ~ TILEY
ER I TANCE TAX Pennsylvania
APP~~~~~I~1'~t ANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
0 "~ '~ ~ ~~ D A~~~SSNENT OF TAX REV-1547 IX AFP C12-09)
~~~Q Jet _4 ~~~`'~ DATE 05-31-2010
ESTATE OF RICHWINE LUCY
DATE OF DEATH 12-18-2008
~~~ FILE NUMBER 21 08-1289
.~~~ N ~A COUNTY CUMBE~tLAND
ACN 101
5 S HANOVER STREET
CARLISLE PA 17013
APPEAL. DATE: 07-30-2010
(See reverse sale under Ob}ectla-ns)
Awount Reuitted ~-
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
CUT ALONC THIS LINE ~ RETAIN LOWER PORTION FOR YOUR
- r r - r r r r r - - r rr - - r - r - - - - • - r - - • - - - r - - - r - r r - r r r r • - -r
r RECORDS ~
r r -
• r r - - rr - r r - r r r - - • - - - -
REV-1547 EX ASP C12-09~ NOTICE OF INHERITANCE TAX APPRAISENENT, ALLOWANCE r r - - - - - - - - - - - - - - -
OR
DISALLOWANCE OF DEDUCTIONS AND ASSES~NENT OF TAX
ESTATE OF: RICHWINE LUCY FILE NO.s21 08-1289 ACNs 101 DATES 05.-31-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1)_ , 118, 000.00 NOTE: To ensure proper
2. Stocks and Bonds CSchodule B) (2) .0 0 credit to your account,
3. Closely Held Stock/Partnership Interest CSchodule C) C3) •0 0 subwit the upper portion
of this torw with yowr
4. MortpaGes/Notes Receivable (Schedule D) C4) •0 0 tax paywent.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 2,5 00.0 0
6. Jointly Owned Property CSchodule F) C6) 44 0.0 0
7. Transfers (Schedule G) (7) .0 0
8. Total Assets C8) 120 , 940.00
APPROVED DED~JCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adw. Costs/Misc. Expenses CSchodule H) Cg) 3.Q 7 0_D 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .0 0
11. Total Deductions C11) 3, 970.00
12. Net Value of Tax Roturn C12) 116, 70.00
13. Charitable/Governwental Bequests; Non-elected 9113 Trusts CSchedul~e J) C13) .0 0
14. Net Value of Estate Subject to Tax C14) ~_, 1.16, 970 . 0~_
NOTE: If an assess~ent was issued previously,
reflect figures that include the total
ASSESSMENT OF TAX:
15. Auount of Line 14 at Spousal rate
16. Awount of Line 14 taxable at Lineal/Class A rate
17. Awount of Line 14 at Sibling rate
lines 14, 15 and:/or 16, 17, 18 and 19 will
of ALL returns assessed to date.
18. Awount of Line 14 taxable at Collateral/Class B rate
19. Principal tax Due
TAX CREDITS:
C15) . 00 X
C16) 11 6 .9T0 _ d0 x
Cin _ on x
Cls) .00 x
00 .00
045 = 5,264.00
12 = ,00
15 _ .00
C19)= 5,264.00
rwT~en~ I KCtalrl I DISCOUNT C+) ~ AMOUNT PAID I
DATE NUMBER INTEREST/PEN PAID C-)
INTEREST IS CHARGED THROUGH
AT THE RATES APPLICABLE AS
REVERSE SIDE OF THIS FORM
06-15-2010
OUTLINED ON THE
TOTAL TAX PAYMENT .00
BALANCE OF TAX Dt1E 5, 264.00
INTEREST AND PEN. 171.12
TOTAL Dt1E 5, 435.12
* 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. ~j
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