HomeMy WebLinkAbout06-04-10NOT C OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES °~~ ;} j '. ~i€~~~~'ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~ ~~~NS AND ASSESSMENT OF TAX
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HARRISIUR6 PA 17128-0601
ROGER B LRWIN ESQ
60 W POMFRET ST
CARLISLE
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PA 17013
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DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-09)
DATE 05-31-2010
ESTATE OF GABLE KIM A
DATE OF DEATH 10-28-2009
FILE NUMBER 21 09-1114
COUNTY CUMBERLAND
ACN 101
APPEAL DATES 07-30-2010
(See reverse side vender Obfections)
A~ount Re~itted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONC THIS LINE ~- RETAIN LOWER PORTLON FOR YOUR' RECORDS ~
REV-1547 EX AFP C12-091 NOTICE OF INHERITANCE TAX APPRAISEMIENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: GABLE KiM AFILE N0.:21 09-1114 ACN: 101 DATE: 05-3I-2010
TAX RETURN WAS: C)O ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN. BASED ON: ORIGINAL RETURN
1. Real Estate CSchedule A) C1) 205, 000.00 NOTE: To ensure proper
2. Stocks and Bonds CSchadula B) C2) .0 0 credit to your account,
3. Closely Held Stock/Partnership Interest CSchadula C) C3) .0 0 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable CSchedule D) C4) •0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property CSchedule E) C5) 10,472.87
6. Jointly Owned Property CSchedule F) (6) .Q 0
7. Transfers CSchedule G) (7) .0 0
9. Total Assets (8) 215,47_2_
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule H) (g) 14.12 8.0 2
10. Debts/Mortgage Liabilities/Liens CSchedule I) C10) 90,.96 1.26
11. Total Deductions C11) 105, 089.28
12. Net Value of Tax Return C12) 110,383.59
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchedule J) C13) .0 0
14. Net Valua of Estate Subject to Tax C14) 110,383.59
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17 , 18 and 1- will
reflect fiUures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate C15) .0 0 X 0 0 = .0 0
16. Amount of Line 14 taxable at Lineal/Class A rate C16) ,_~ X 0 45 = .0 0
17. Amount of Line 14 at Sibling rate (17)_1 1 ~8~ _ ~9 X 12 = 13, 246.03
18. Amount of Lino 14 taxable at Collateral/Class B rate C18) .0 0 X 1 5 = .0 0
19. Principal Tax Due C19)= 13,246.03
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
01-22-2010 CD0122 5 662.30 12,583.73
TOTAL TAX PAYMENT 13,246.03
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" CGR). YOU MAY BE DUE
FOR CALCULATION OF
T~~. ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF tHIS-FORM FOR INSTRUCTION
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