HomeMy WebLinkAbout06-04-10BUREAU OF INDIVIDUAL
INHERITANCE TAX DIVISION
PO 801( 2SOi01
HARRIS8UR6 PA 17128-0601
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TAXES `~'~~)Itl _ , ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
~~~i~~~ ~ TIONS ~iNll~ ASSESSMENT OR TAX REV-1547 Ex AFP c12-o9)
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JOSEPH P G'ONTKO ~~"
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161 BRINDLE RD
MECHANICSBURG PA 17055-9515
DATE 05-31-2010
ESTATE OF LUTCAVAGE VIVIAN V
DATE OF DEATH 10-26-2009
FILE NUMBER 21 10-0079
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 07-30-2010
(See reverse side under O~ject~ons)
Auount Rru3ttedl _ -~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~F RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1347 EX AFP tlZ-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: LUTCAVAGE VIVIAN VFILE N0.:21 10-00.7.9 ACM: 101 DATE: 05-31-2010
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) Ci) .0 0
NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) .0 0 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .0 0 submit the uppor portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) •0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 1,00 7.0 0
6. Jointly Owned Property (Schedule F) C6) .0 0
7. Transfers (Schedule 6) C7) 63,16? . 00
8. Total Assets C8) 64,174..00
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Exponses/Adm. Costs/Misc. Expenses (Schedule H) Cg) 255.0 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 1 62.00
11. Total Deductions C11) 417.00
12. Net Value of Tax Return C12) 63, 757.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) _ .00
14. Net Value of Estate Subject to Tax C14) 63,757.00
NOTE: If an assess ant was issued previously,
rsfl®ct figures that include the total
ASSESSMENT OF TAXs
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns assess®d to date.
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
C15) • 00 X
C16) 6 3.77 _ DD X
C17) - DD X
cis) .00 X
00 .00
045 2,869.00
12 ~ .00
15 .oa
C19)= 2,869.0.0
PAYMENT
DATE REC IPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
01-22-2010 CD012278 143.45 2,725.55
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX PAYMENT 2,869.00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU NAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.t~
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