HomeMy WebLinkAbout06-04-10NOTICE OF INHERITANCE TAX pe~#1S~/~Va~"13a
BUREAU OF INDIVIDUAL TAXES APPRAI~'f '~ OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DE~g~l~~~'~~~~. ~ SR$SMENT OF TAX REV-1547 oc AFP C12-09)
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HARRISBURG PA 17128.OC01
~f11a J1~11 ~4 AM ~1: ~~rE o5-31-2010
ATE OF SHOFF TIMOTHY L
DATE OF DEATH 01-30-2009
.FILE NUMBER 21 09-0141
C~,~' COUNTY CUMBERLAND
PAUL BRADFORD ORR ~ ., .1CN 101
50 E HIGH ST ~ APPEAL DATE: Q7-30-2010
CARLISLE P A 17 013 (See reverse s~uie under Ub,~ertions )
Aaount Reuitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~- RETAIN LOWER PORTION FOR YOUR RECORDS ~ _
- - - - ~ - s - - - - - - - - - - •• - - - - - - - - - - - - - -.- - •• - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - r - •• - - - - - - - - - - - - - - - - - -
REY-1547 EX AFP C1Z-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALiOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SHOFF TIMOTHY LFILE M0.:2i 09-0141 ACN: 101 DATEs 05-31-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Roal Estste CSchedule A) (1) 123, 000,._ NOTE: To ensure proper
2. Stacks and Bonds CSchedule B) C2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest CSchedule C) C3) .0 0 submit th• upper portion
of this form with your
4. MortHayes/Notes Receivable CSchedule D) C4) •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property CSchedule E) C5) 23,821.11
6. Jointly Owned Property CSchedule F) C6) .0 0
7. Transfers CSchedule G) (7) .0 0
8. Total Assets C8) ~, 146 , 821.11
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule H) Cy) 8.8 21.1 9
10. Debts/Mortgage Liabilitios/Lions CSchedule I) C10) 137,458.62
11. Total Deductions Cil) 146,279.81
12. Net Value of Tax Return C12) 541.3t!
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchedule J) C13) .00
14. Net Value of Estate Subject to Tsx C14) 54 1_
NOTE: If an ass®ss~ant was issued previously,
reflect fiaurss 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
lines 14, 15 and/or 16, 17, 18 and 19 trill
of ALL returns assessed to date.
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
C15) . 00 x
C16) - ~~ X
C17) 541 _ 30 X
C18) .00 X
00 = .00
045 .00
12 a 64.9b
15 .00
c19)= 64.96
PAY NT
DATE RECEIPt
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
01-27-2010 CD012288 .00 64.96
05-24-2010 SBADJUST .00 .74
TOTAL TAX PAYMENT 64.96
BALANCE OF TAX DUf ,00
INTEREST AND PEN. .00
TOTAL DUE .OD
* 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 REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.