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HomeMy WebLinkAbout06-04-10~ E OF INHERITANCE TAX penn~ylvan~a s ~'3~~''~k~~~~~E , ALLON[~NCE OR ~ISALL~QMIANCE DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXE a.~.....~, ,~.~ INHERITANCE TAX DIVISION `.~~~ IONS ANYI ASSESSMENT 0~ 'TAX REV-1547 EX AFP C12-09) PO 'rOX 280601 WiRRISilift6 PA 17128-0601 '~~~Q,~ ~'4 ~~~~~ ~.,~ DATE 05-31-2010 ESTATE OF KETNER IRENE E DATE OF DEATH 04-28-2009 FILE NUMBER 21 10-0057 COUNTY CUMBERLAND GEORGE H SMALL y' ACN 101 y 837 MANDY LN APPEAL DATES 07-30-2010 CAMP H ILL P A 17 011-15 3 6 (See reverse side under ©b}sct~a~s ) Amount Rsa~tted~ -~ MAKE CHECK PAYAALE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE ~- RETAIN LOWER PORTION FOR YOUR RECORDS ~ ~ .. ~ .... ~ . ~ ~ ~ ~ r ~ ~~ ~ . ~ . ~ ~ r . rlw a s ~~ ..... ~ ....... _~,____~_____ ~ ~ ~ . r s . ~ .. ~ . w r .. ~.. ~ r~ . ~.~ ~ ~ ~ . ~ r . ~ ~ ~ ~ . ~ r REV-1547 EX AFP C12-09~ NOTICE Of INHERITANCE TAX APPRAISElI~IENT, ALLOWANCE OR DIRALLOWANCE OF DEDUCTIONS AND ASSf'SSMENT OF TAX ESTATE OF: KETNER YRENE EFILE N0.:21 10-0.057 ACN: 101 DJ1TEs 05-31-2010 TAX RETURN WAS: CX) ACCEPTED AS FILED . C ) CHANGED APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate CSchsdule A) tl) •0 0 NOTE: To ensure proper C2) .0 0 credit to your account, 2. Stocks and Bonds (Schedule B) submit th• upper portion 3. Closely Hald Stock/Partnership Interest (Schedule C) C3) .0 0 of this forty with your 4. Mortgages/Notes Recoivable (Schedule D) C4) .0 0 tax psyMent. 5. Casfi/Bank Deposits/Misc. Porsonal Property (Schedule E) C5) .00 6. Jointly Owned Property (Schedule F) (6)_ 1p,485.55 7. Transfers CSchadula 6) C7) .00 8. Total Assets C8) 10 , 485.55. APPROV ED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Ada. Costa/Misc. Expenses CSchadula H) Cg) 2.•28 9 5 ~ 10. Debts/Mortgage Liabilities/Liens CSchadula I) C10) 1 , 1.2' 1 . 00 C11) 3, 410.50 11. Total Deductions 7, 075.05 12. Net Value of Tax Return C12) 13. Charitable/Governsental Boquests; Non-elected 9113 Trusts (Schedule J) C13) ,+,__,,..,_=0 14. Net Value of Estate Subject to Tax C14) 7, E175.05 NOTE: If an assess~snt was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect f inures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 0 0 0 0 = .0 0 15. Amount of Line 14 at Spousal rate C15) . X 16. Amount of Line 14 taxable at .Lineal/Class A rate C16) 7.075_d5 x 045 ~ 3].8.38 17. Amount of Line 14 at Sibling rate C17) i__, - 80 X 12 ~ .00 18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 1 5 ~ .QO 19. Principal Tax Due C14 )¢ 318.38 PAYNEN7 DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) ANOUNT PAID O1-16-2010 CD012 47 .00 318.38 TOTAL TAX PAYMENT 318.38 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 ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTION