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HomeMy WebLinkAbout06-04-10NOTICE OF INHERITANCE TAX pennsylva~n~a BUREAU OF INDIVIDUAL TAXES ~{A ALLOWANCE OR .DISALLOWANCE DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION ~``~^~~ ~ ~ONS AND ASSESSMENT OF fiAX REV-1547 EX AFP C12-09) PO dOX 2s0f01 ~, j { .~ HARRISiiHi6 PA 17128-0601 ~~~~~~ ~~~#~~~-'~ ~410~.".ti ~M~1` t ~~~~ ; WM D SCHRACK III ,. SCHRACK ETAL 124 W HARRISBURG ST 3 DILLSBURG PA 17019-0310 CUT ALONC THIS LINE _ ~- RETAIN LOWER PORTION FOR YOUR RECt3RDS • ~ - - - .r - - - - - - - - - - • - - - - - - - ~ - - - - - - - - - - - - - r ~. - rs r • - - - . - - ~ - - r r - - REV-1547 EX AFP C12-09) NOTICE OF INNERITANCE TAX APPRATSENENT, ALLi DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF ESTATE OF: SMITH JILL KFILE N0.:21 09-0318. ACN: TAX .RETURN WAS: C)O ACCEPTED-AS FILED C ) CHANBED APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) C1) DATE 05-31-2010 ESTATE OF SMITH JILL K DATE OF DEATH 03-13-2009 FILE NUMHER 21 09-0318 COUNTY CUMBERLAND ACN 101 APPEAL DATE: 07-30-2010 (See reverse side under Ob}ec~ions Anount Renitted ~- MAKE CHECK PAYAiLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 d- ------------------------ DWANCE OR TAX l0i DATE: D5-31-2010 .0 0 NOTE: To unsure proper 2. Stocks and Bonds (Schedule B) C2) 59, 680.00 credit to your account, 3. Closely Held Stock/Partnership Interest (Schedule C) C3) .00 submit the upper portion of this form with your 4. Mortgages/Notes Receivable CSchedula D) C4) •0 0 tax payment. 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 6,11 5.0 0 6. Jointly Owned Property (Schedule F) C6) .00 7. Transfers (Schedule G) C7) .0 0 e. Total Assets te) 65,795.00 APPROV ED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) t9) 1 2.2 18 D ~ 10. Debts/Mortgage Liabilities/Liens CSchedula I) C10) 89, 973.00 11. Total Deductions C11) 102,.191.00 12. Net Value of Tax Return C12) 36, 96.00- 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00 14. Net Value of Estate Subject to Tax C14) 3b,396.00- NOTE: If an assessment was issued previously, reflect f ipures that include the total ASSESSMENT OF TAX: 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 lines 14, 15 and/or 16, 17, 18 and 19 will of ALL returns assessed to date. 18. Amount of Line 14 taxable at Collateral/Class B rate 19. Principal Tax Due TAX CREDITS: C15) • 0© X C16) _ Ofl X C17) ~-_ ~0 X C18) • 00 X 00 .00 045 .00 12 ~ .p0 15 .00 c19)= .00 I P DATE T ( NUMBER I INTEREST/PEN PAID C-) ( AMOUNT PAID I TOTAL TAX PAYMENT .00 $ALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .fl0 * IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE U FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THI$ BORN FOR INSTRUCTIONS~~