HomeMy WebLinkAbout06-04-10 F INHERITANCE TAX penns~lvarn
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LLOWANCE OR DISALLOWANCE
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AU OF INDIVIDUAL TAXES
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INHERITANCE TAX DIVISION E'* -"~`~ ~ ~ AND A$3L$SMENT 0'~ TAX REV-1547 EX AFP C12-09)
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HARRISfUR6 PA 17125-0601 ~~: ~~ :r:,», ~~ ~, ~ ~ "~`
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*~~~ •*~ A~~~~ ~~ DATE 05-31-2010
ESTATE OF TENTA DOROTHY A
DATE OF DEATH 11-12-2009
FILE NUMBER 21 09-1113
COUNTY CUMBERLAND
WILLIAM L ADLER '' `~' ACN 101
125 LOCUST ST APPEAL DATE: 07-30-2010
H BG PA 17101 (See reverse side under Ob~ecOtons)
A~ount Rsa,ittod ~~
MAKE CHECK PAYABLE 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 r r r r r r r r r r r r r r r r r w r r r
REV-15417 EX AFP (12-091 r r r r r r r r w r r r r r r r r r r r r r r r r r r r r w r r r~ r y w r r r r r r r r r w r r r r r r w r r r r r r r r r r r r r r
NOTICE OF INHERITANCE TAX APPRAISENF~NT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: TENTA DOROTHY AFILE N0.:21 09-1113 ACN: 101 IIATEs 05-31-2010
TAX RETURN WAS: tX) ACCEPTED AS FILED C ) CNANB~D
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APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) •0 0 NOTE: Ta ensure proper
2. Stocks and Bonds tSchedula B) C2) .0 0 credit to your account,
0 0 subwit the upper portion
3. Closely Held Stock/Partnership Interest CSchedul• C) C3) . of this for^ with your
4. Mortgages/Notes Receivable (Schedule D) C4) •0 0 tax payment.
5. Cash/Bank Doposits/Misc. Personal Property (Schedule E) C5) 28, 756.91
b. Jointly Owned Property (Schedule F) Cb) .0 0
7. Transfors (Schedule 6) (7) .0 0
8. Total Assets t8) 28,756.91
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Ada. Costs/Misc. Expenses (Schedule H) C9), 10.500.42
10. Debts/Mortgage Liabilities/Liens (Schedule i) C10) 5,58 8.45
11. Total Deductions C11) 16, 089.37
12. Net Value of Tax Return C12) 12, 667.54
13. Charitable/6overnwental Bequestsf Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax C14) 12, 667.54
NOTE: If an assess~®nt was issued previously,
reflect figures that include the total
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
14. 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 assessod to dat®.
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Dua
TAX CREDITS:
C15) • 00 X
C14) - ~~ X
C17) 1 .667 _ ~,4 X
cla) • 00 x
00 .00
045 = .00
12 = 1,520.00
15 .00
C19)= 1,520.00
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID t-) AMOUNT PAID
01-25-2010 CD012279 7.00 1,474.00
TOTAL TAX PAYMENT 1,550..00
BALANCE OF TAX DUE 30.000R
INTEREST AND PEN. .00
TOTAL DUE 30.000R
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" tCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIOkAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. C~J'~(~(1