HomeMy WebLinkAbout06-11-10;9
NOTICE OF INHERITANCE TAX
BUREAU OF INDIY~'T ~ RAISEMENT, ALLOWANCE OR DiSALLQWANCE
INHERITANCE TAX DIVI ,-. ~~~~' '~ ~OF DEDUCTIONS ANfl ASSRSSM~NT 01= TAX
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MECHANICS$URG PA 17050
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DEPARTMENT OF REVENUE
REV•1547 D( AFP C12-09)
DATE 06-08-2010
ESTATE OF HAYMAKER SR DOUGLAS B
DATE OF DEATH 02-15-2009
FILE NUMBER 21 09-0875
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 08-07-2010
(See reverse side render Obfectieins)
Anount Renitted r-
MAKE (NECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~- RETAIN LOWER PORTION FOR YOUR RECORDS !~ _
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REV-1547 EX AFP '{12-09) NOTICE OF INHERITANCE TAX APPRAISENENT, ALLOWANCE OR
DLSALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: HATM~KER SR DOUGLAS BFILE N0.:21 09-0875 ACM: 101 DATE: 06-08-2010
TAX RETURN WAS: C)O ACCEPTED AS FILED
---___ -
APPRAISED VALUE QF RETURN HASED ON: ORIGINAL RETURN
1. Real Estate '(Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held!Stock/Partnership Interest (Schedule C)
4. MortgageslNoltes Receivable CSchadule D)
5. Cash/Bank Deposits/Misc. Personal Property CSchadule E)
6. Jointly Owneq Property (Schedule F)
7. Transfers CSphedule 6)
cl) .00
C2) .00
C3) .00
c4) .00
C5) 60,131 :00
C~) . DO
c7) 119, 264.00
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
8. Total Assets C8) 179, 395.00
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expehses/Adm. Costs/Misc. Expanses CSchadule H) Cg)_1~.5 9_ 5
10. Debts/Mortgage Liabilities/Liens CSchadule I) C10) 4 2 2_0 0
11. Total Daductlons C11) 16, 017.00
12. Nat Value of Tax Return C12) 163, ' 78.00
13. Charitable/6~vernmental Bequests; Non-elected 9113 Trusts CSchadule J) C13) ~~ 0 0
14. Nat Value of Estate Subject to Tax C14) 163, 378..00
NOTE: If an assiess~ent 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 TAx:
15. Amount of Li~1e 14 at Spousal rata C15) .00 X 00 = .00
16. Amount of Line 14 taxable at Linaal/Class A rate C16) ~_1 63.378 _ DO x 045 = 7, 352.00
17. Amount of Line 14 at Sibling rate C17) _0 0 X 1 2 = .0 0
18. Amount of Lirye 14 taxable at Collateral/Class B rata C18) .0 0 X 1 5 = .00
19. Principal Tail Due C14)= 7, 352.00
TAX CREDITS:
PAYMENT
DATE RECEIPT
NLMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
02-02-2010 D012315 .00 7,352.00
BALANCE OF UNPAID'INTEREST/PENALTY AS OF 02-03-2010
C ) CHANBED
TOTAL TAX PAYMENT 7,352.00
iALANCE OF TAX DUE .00
INTEREST AND PfN. 73.02
TOTAL DUE 73.D2
* IF PAID AFTER DATE ;INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE
FOR CALCULATION OF (ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.