HomeMy WebLinkAbout06-11-10NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~~~~~ MENT, ALLOWANCE OR DISALLOWANCE
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INMHtITANCE TAX DIVISION ~ ~-
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HARRISBURG PA 17128-0601 ~'~ U~ ~#r~,;.
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JANE ADAM$ ES~~~~(..~.~,~~ ~'~ , p~,
17 W SOUTM STREET
CARLISLE PA 17013-8810
p~nn~ylvania
DEPARTMENT OF REVENUE
REY-1547 EX AFP C12-09)
DATE 06-08-2010
ESTATE OF BRAME LOIS M
DATE OF DEATH 06-05-2009
FILE NUMSER 21 09-06.61
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 08-07-2010
(See re-~erse slide under Obf e~ctitons
ABiount Resitted~- ~~
MAKE CHECK PAYAIILE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
GARLISLE PA 17013
CUT ALONC TNIS L~NE •'~ RETAIN LOWER PORTION FOR YOUR RECORDS
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REV-1547 EX AFP '~C12-09) NOTICE OF INHE=RITANCE TAX APPR~ISEME'WT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: BRAM~ LOIS MFILE N0.:21 09-0661 ACN: 101 DATE: d6-08-2010
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE bF RETURN BASED ON: ORIGINAL RETURN
1. Real Estat• 'CSchedule A) C1) •0 0 NOTE: To ensure proper
2. Stocks and B'pnds CSchedule B) C2) .0 0 credit to your account,
~ 0 0 submit th• upper portion
3. IStock/Partnership Interest CSchedule C) t3)
Closely He1d . of this form with your
4. Mortgages/Notes Receivable CSchodula D) C4) •00 tax pay~sent.
5. Cash/Bank Deposits/Misc. Personal Property CSchodulo E) C5) 1,9 72.5 0
6. Jointly Ownep Property CSchedule F) C6) .0 0
7. Transfers CScchedule G) (7) .00
8. Total Assets. C8) 1 , 972..50
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expehses/Adm. Costs/Misc. Expenses CSchedule H) Cg) 4 1 0.56
10. Debts/Mortgage Liabilities/Liens CSchedule i) C10)~, .0 0
11. Total Deductions C11) 410.56
12. Net Value of Tax Return C12) 1,561.94
13. Charitable/Gpvernmental Bequests; Non-elected 9113 Trusts CSchedule J) CI3) ~_,~-,_ 2 0.,_,
14. Net Value of Estate Subject to Tax C14) -~,~ 1,.541.94
NOTE: If an as~essuent was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAB:
15. Amount of Lifie 14 at Spousal rate C15) .00 X 00 = .00
16. Amount of Lithe 14 taxable at Lineal/Class A rate C16) 1 .351 _ 94 x 045 = 60.84
17. Amount of Lime 14 at Sibling rate C17) 4D _ DO X 12 = 4.80
18. Amount of Line 14 taxable at Collateral/Class B rate C18) 15 0.0 0 X 15 = 22;_
19. Principal Ta~K Due C19)= 88, 14
TAX CREDITS:
PAYMENT ' RECEIPT DISCOUNT C+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
n~_n~_~n~n _nn»?t~4 _n[l 88.14
TOTAL TAX PAYMENT 88.14
BALANCE OF TAX DUE .p0
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE'INDICATED, SEE REVERSE
FOR CALCULATION OFIADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A ••CREDIT" tCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.