HomeMy WebLinkAbout06-11-10~,~„~~ ~~ ~ ,,~ ~a NOTICE OF INNERITANCE TAX
BUREAU o~ L~ ~~ APPRAISEMENT, ALLOftlANCE OR DISALLOWANCE
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INHERITANCE } i ~ OF DEDUCTIONS AND AS~1~~E~MENT OR TAX
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CARLISLE PA 17013
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REV-1547 EX AFP X12-09) NOTICE OF INNEitITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: KLICK~i SR ,ROOT (FILE N0.:21 09-0018 ACM: 101 DATES 06-08-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE ~)F RETURN RASED ON: 0
1. Real Estate CSchedula A)
2. Stocks and Blonds (Schedule B)
3. Closely Hald',Stoek/Partnership Interest
DATE 06-08-2010
ESTATE OF KLICK SR ROBERT C
DATE OF DEATH 12-28-2008
FILE NUMBER 21 09-0018
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 08-07-2010
(See reverse side under Obf ins )
Auoun# Reuittedl
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
RIGINAL RETURN
(Schedule C)
4. Mortgages/No;tes Receivsble CSchedula D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers CSbhedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expelnses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgalge Liabilities/Liens (Schedule I)
11. Total Deductlions
12. Net Valuo of Tax Return
C1) 149,900.00
C2) .00
C3) • 00
C4) .00
Cs) 93, 855.27
C6) .00
C7) .00
~n~~ylvan~a
DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-09)
NOTE: To ensure proper
credit to your account,
submit th• upper portion
of this form with your
tax payment.
c8) =43:75_
Cg) 30.114 _ 45
clo) 4,720..98
13. Charitable/Glovernmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of'~ Estate Subject to Tax
Cil) 34,835.43
C12) 2 8,919.84
c13) __ .00
C14) 208,919.84
NOTE: If an as#®ssusnt was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect ~ipures that include the total of ALL returns assessed to date.
ASSESSMENT OF TALC
15. Amount of Li!,ne 14 at Spousal rate C15) .00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 2 Q8.914.84 x 045 : 9,401.9
17. Amount of Li'~ne 14 at Sibling rate C17) _ 00 X 12 a . OQ
18. Amount of Lilne 14 taxable at Collateral/Class B rate C18) .0 0 X 1 5 = .00
19. Principal Talx Due C19)~ 9,401.39
TAX CREDITS:
PAYMEN
DATE RECEI T
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
09-25-2009 'CD011805 .00 10,132.00
TOTAL TAX PAYMENT 10,132.00
BALANCE OF TAX DUE 730.61CR
INTEREST AND PEN. .00
TOTAL DUE 730.61CR
* IF PAID AFTER DATA INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
FOR CALCULATION Ofd ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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