HomeMy WebLinkAbout06-04-10~~ NOTICE_ OF INHERITANCE TAX t~/~Va11'~a
AP NCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~ ~ ~. D AS§ESSNENT OF TAX REV-1547 EX AFP C12-09)
PO BOX 200601 ~ ~ i~" '' ~' ° r~ '~~ ~~ .'1.
HARRISBURG PA 17128-0601
?~~~ _,~ ~ ~+_ DATE 05-31-2010
~~ ESTATE OF WILLIANS HELEN E
DATE OF DEATH 12-01-2009
FILE NUMBER 21 09-1134
BENJAMIN C WILLIANS COUNTY CUMBERLAND
ACN 101
590 S 82ND ST ~ ~ a~ APPEAL DATE: 07-30-2010
HARRISBURG PA 17111 (See reverse side under Ob,~ecti~ins)
Amount Remitted ~-
NAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONE THIS LINE _'~'! RETAIN LOWER PORTION FOR YOWR RECORDS ~
REV-157 EX AFP t12-09) NOTICE OF INHERITANCE TAX APPRAISElfENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND AS~S~~S$'MENT OF TAX
ESTATE OF: WILLIANS HELEN EFILE N0.:21 09-1134 ACN: 101 DATE: 05-31-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate CSchedule A) C1) •00 NOTE: To ensue proper
2. Stocks and Bonds CSchedule B) C2) .0 0 credit to your account,
3. Closely Held Stock/Partnership Interest CSchedule C) C3) .0 0 subsit the upper portion
of this fors with your
4. Mortgages/Notes Receivable CSchedule D) C4) •0 0 tax paysent.
5. Cash/Bank Deposits/Misc. Personal Property CSchedule E) C5) 5,654.0 5
6. Jointly Owned Property CSchedule F) C6) .0 0
7. Transfers CSchedule G) (7) .0 0
8. Total Assets CS) 5, 654.05
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Ads. Costs/Misc. Expenses CSchedule H) Cg) 7 6 6.2 6
10. Debts/Mortgage Liabilities/Liens CSchedule I) C10) 2,7 7 9.23
11. Total Deductions Cll) 3,545.49
12. Net Value of Tax Return C12) 2, 108.56
13. Charitable/Governsental Bequests; Non-elected 9113 Trusts CSchedule J) C13) _~- .0 0
14. Net Value of Estate Subject to Tax C14) _, 2,108.56
NOTE: If an assessment was issued previously,
reflect figures that include the total
ASSESSMENT OF TAX:
15. Asount of Line 14 at Spousal rate
16. Asount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibiinp rate
lines 14, 15 and/or 16, 17, 18 and 19 rill
of ALL returns assessed to date.
18. Asount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
c15) . 00 x
C16) 2 . l0B _ ~6 X
C 17 ) - (,~ X
cl$) .00 X
00 .00
045 94.89
12 = .00
15 .00
c19)= 94.89
PA1f17ENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
n7-n4-~n~ n rnn~ ~ c ~ -,i ~_ e.,
TOTAL TAX PAYMENT 99.63
BALANCE OF TAX DUE 4.74CR
INTEREST AND PEN, .00
TOTAL DUE 4.74CR
* 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.