HomeMy WebLinkAbout06-11-10"~^ NOTICE OF INHERITANCE TAX per~nsylv~nia
BUREAU OF INDIVID~~~J~~t ~,ti ~AISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
IIDB:RITANCE TAX DIVISI ^ ~ '!' I"'~ ~°,~?~. t t F DEDUCTI ONS AND ASSESSMENT OF TAX REV-1547 EX AFP C12-09)
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HARRISDUR6 PA 17128-0601
ZQ~~.~~ l ~ ~~ ~~; ~,~ DATE 06-OS-2010
ESTATE OF JUDGE BEVERLY A
\~~~~~rJ l/~~~
SUSAN H~~:~~~~ ~~,, P~-,
2331 MARKET ST
CAMP HILL PA 1T011
DATE OF DEATH 07-17-2009
FILE NUMBER 21 09-0716
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 08-07-2010
(Sce reverse side under 0~-ons)
Amount Remitted ~ --l
MAKE CHECK PAYAaLS AND REMIT PAYMENT T0:
REGISTER OF M[IILS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LIME ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~'
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REY-1547 EX AFP C12-09) NOTICE OF INHERITANCE TAX APP'RAIMENT, ALL0Wi1NCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: JUDGE' BEVERLY AFILE ND.:21 09-0716 ACM: 1O1 DATE: 06-08-2010
TAX: RETURN WAS: t)O ACCEPTED AS FILED C ) GNAMCEDI
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APPRAISED VALUE ~JF RETURN HA9ED ONs ORIGINAL RETURN
1. Reai Estate !t Schedule A) C1) •Q0 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) .0 0 credit to your account,
' 0 0 submit the upper portion
3. ,Stock/Partnership Interest (Schedule C)
Closely Hald C3) . of this form with your
4. MortgagesJNoltes Receivable (Schedule D) C4) •~ 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 8,9 72..:29
6. Jointly Owneld Property CScheduia F) C6) .00
7. Transfers CS~hedule 6) C7) 65, 428 • 11
a. Total Assts Ca) 74.400..40
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchadula H) Cg) 6•S 22...00
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .47.52
11. Total Deduct~Lons Cll) 6,869.52
12. Net Value of '' Tax Return C12) 67, 30.$8
13. Charitable/Governmental Bequests; Non-olected 9113 Trusts CSchadula J) C13) ,~~ ~, •0 0
14. Net Value of Estate Subject to Tax C14) 67~53,t 8
NOTE: If an asSesanent was. issued previously., lines 14, 15 and/or 16, 17, 18 and 19 will
reflect i~ipures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAB:
15. Amount of Lirhe 14 at Spousal rata tl5)~~ - 65,428.11 X 00 ffi .00
16. Amount of Lirhe 14 taxable at Lineal/Class A rate C16) _?~,lAZ,.78 x 045 ~ 94.63
17. Amount of Line 14 at Sibling rate C1T) _D O X 1 2 : .0 0
18. Amount of Lirtie 14 taxable at Collateral/Class B rate Cla) • 00 X 15 : , OQ
19. Principal Tai Due C19)'° 94.63
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
n~_s~-~n:n _nns~3~o _ne 94.63
TOTAL TAX PAYMENT 94.63
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 REVERSE SIDE OF THIS FORM FOR INSTRUC3TIOt~