HomeMy WebLinkAbout06-04-10BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO ~( 260601
HARRISBURG PA 17128-0601
NOTICE OF- NHERITANCE TAX
A~!P~l ~~WANCE OR DISALLOWANCE
~: ,.
~'~~~ ~~7.','~~'AND ASSESSMENT OF TAX
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ZAJIM MEHMEDflVIC ~-
APT 2
716 STANWIX CIRCLE
CARLISLE PA 17013
penr~s~lvania
DEPARTMENT OF REVENUE
REV-1547 IX AFP C12-09)
DATE 05-31-2010
ESTATE OF MEHMEDOVIC RAMO
DATE DF DEATH 09-06-2009
FILE. NUMBER 21 09-0979
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 07-3D-2010
(See reverse sale under Ob}moons)
AsBOUnt R•uit#ed
MAKE CHECK PAYABLE AND REMIT PAYMENT TOs
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~- RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1547 EX AFP CI2-@9? NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLD~i~tANCE OR
DISALLOWANCE OF DEDUCTIDN$ AND ASSESSMENT OF TAX
ESTATE OF: MEHMEDOVIC RAMO FILE N0.:21 09-0979 ACN: 101 DATE: 05-31-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE QF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) •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 upper portion
of this form with your
4. Nortgages/Natas Receivable (Schedule D) t4) .0 0 tax payment.
5. Cash/Bank Doposits/Misc. Personal Property (Schedule E) C5) 2,2 0 5.0 9
6. Jointly Owned Property CSchadula F) (6) .0 0
7. Transfers CSchadula G) (7) .0 0
8. Total Assots Ce) __, 2,205.09
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Exponsos/Adm. Costs/Misc. Expanses (Schedule H) ty)_, 6.0 0 ~.0~
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10)
11. Total Deductions C11) 6,.000.00
12. Net Value of Tax Return C 12) 3, 794. 91 -
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Nat Value of Estate Subject to Tax C14) 3, 794.91-
NOTE: If an assessment was issued previously,
reflect figures 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
17. Amount of Lin• 14 at Sibling rate
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns asssss®d to date.
C15) • OD X
C16) _ OD X
C17) _ 00 X
cis) .00 x
18. Amount of Lino 14 taxable at Collateral/Class B rata
19. Principal Tax Due
TAX CREDITS:
00 .00
045 = .00
12 = .00
15 .00
Ci9)s .0.0
PAYNENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) ANOUNT PAID
TOTAL TAX PAYMENT .00
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" tCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSIE SIDE OF THIS FORM FOR INSTRUCTIONS.