HomeMy WebLinkAbout06-04-10NO 0 ..INHERITANCE TAX pennsylvarna
', ,, I~i~owANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES Yom'*- ~
INHERITANCE TAX DIVISION ~'~~t l?~`'~",) AND A~~~SSMENT ~~ TAX REV-1547 Ex AFP C12-09)
Po tax 2t®~®1
HARRIStUR6 PA 17128-0601 :~;"~
~~~ •-~ ~~#~» ~~ DATE 05-31-2010
ESTATE OF HART BETTY J
DATE OF DEATH 05-OB-2009
~~"~ :, FILE NUMBER 21 09-0454
COUNTY CUMBERLAND
JODY GEIGER ACN 101
543 GOOD HOPE RD APPEAL DATE: 07-30-2010
MECHANICSBURG PA 17055 (See reverse s~rle wader Ob~ectforrs)
Atsount Refitted ~-
MAKE CHECK PAYABLE AND REMIT PAYMENt T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
~ --RETAIN-LOWER-PORTION-F~R-YOUR-RECOR@~~
THIS
LINE
ALONS
CUT -!~ -_ __-
--------------
-
---___
-
_
REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, AL4OI~ANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OFs HART BETTY JFILE NO.s21 09-0454 ACN: 101 DATE: 05-31-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Resl Estate (Schedule A) C1) •0 0 NOTE: To ensure proper
C2) .Q Q crodit to your account,
2. Stocks and Bonds (Schedule B) submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) •~ 0 of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) .0 0 tax payment.
5. Cssh/Bank Deposits/Misc. Personal Property (Schedule E) C5) 4,3 9 2.4 2
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfors (Schedule G) C7) •0 @
8. Total Assots C8) ~,,.39_ 2_
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Cg) 4•~_~i. 4 4?
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 2,21 :~,,,4
li. Total Deductions C11) 6,960.71
C12) 2,56$.29-
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Nonelected 9113 Trusts (Schedule J) C13) ~ ,.,,.•~ ~
14. Net Value of Estate Subject to Tsx C14) 2,56$.29•
NOTE: If an assess~ent was issued previously, lines 14, 15 and/or 16, 17 , le and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate C15) •00 X 0 0 = .0 0
16. Amount of Line 14 taxable at Lineal/Class A rate C16) _D 0 X 0 4 5 ' .0 0
17. Amount of Line 14 at Sibling rate C17) -4 4 X 1 2 ' .0 0
18. Amount of Line 14 taxable at CollaterallClsss B rate C18) •0 0 X 1 5 a .0 0
19. Principal Tax Due C19 )m •0Q
TAY CQF'DiTS
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTERESTJPEN PAID t-) AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE Of TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YDU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. C
1~