HomeMy WebLinkAbout06-11-10{ TILE OF INHERITANCE TAX
~~-~~~~~~'P~~SENT, ALLOWA~tCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXE~ ~~~~ ~-~ _~ DUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION ,J (L.t i a1i t .~„
PO BOX 288601
HARRISBURG PA 17128-0601
~~~0 .~fN ~ ! AM iQ~ ~~
~~~~~~~ ~C~ ,
GAIL G NORRIS
545 WATBORO HILL DRIVE
ALPHARETTA GA 30004
penr~sylvan~a
DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-09)
DATE 05-31-2010
ESTATE OF GEIBEL BETTY J
DATE OF DEATH 12-24-2007
FILE NUMBER 21 08-0190
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 07-30-2010
(See reverse side vender Ob}ect~ons )
Amount Reeitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TOs
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT_kLONC_TNISwL]~NE______~ __RETAIN_LOW~R_PORTION_FOR_YOUR.RECORDS__~ ___________________
REV-1547 EX AFP ~12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEhUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: GEIBEL BETTY JFILE N0.:21 08-0190 ACN: 101 DATES 05-31-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED t ) CHANGED
APPRAISED VALUE QF RETURN LASED ON: ORIGINAL RETURN
1. Real Eatate QSrhedul• A) C1) 234,900.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) .0 0 credit to your account,
submit the upRer portion
3. Closely Held 'Stock/Partnorship Interest CSchedul• C) C3) .0 0 of this form with your
4. Morteapes/Nodes Receivable (Schedule D) C4) .0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 22,620.51
6. Jointly Owned Property (Schedule F) C6) .0 0
7. Transfers CSahedule G) CT) 131 C 61~ 0
t8) 389,131_,,,._
s. Total assets
APPROVED DEDUCTIONS AND EXEMPTIONSs
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Cg)~ 30.17 6..12
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 1 0,2 3 3.
C11) 40,4:09.20
11. Total Deductions 8, 22.31
34
12. Net Value of Tax Return C12) .
13. CharitablelGtlvernmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) ,~.,,„.~ ~
t to Tax
S
b
t
t C14) 348r7,~2_31
14. jec
a
e
u
Net Value of Es
NOTE: If an assessment was issued previously, lines 14, 15 andlor 16, 17, 18 and 19 will
reflect f'iauras that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX':
15. Amount of Line 14 at Spousal rata C15) .0 0 X 0 0 = .0 0
16. Amount of Lure 14 taxable at Lineal/Class A rat' C16) X48 .72 _ 3] x 045 : 15, 692.50
1T. Amount of Lirtie 14 at Sibling rate C17) _ OD X 12 ' ~~~ . QO
18. Amount of LiNe 14 taxable at Collateral/Class B rate C18) .0 0 X 15 = .0 0
19. Principal Tax Due C19) _~:5, 692.50
TAY f QCI7TTC.
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
06-25-2009 D0114 6 .00 10,570.50
12-22-2009 ~D012144 799.96- 5,922.50
12-22-2009 ~D012145 .00 1,276.46
TOTAL TAX PAYMENT 16,969.50
BALANCE OF TAX DUE 1,277.0008
INTEREST AND PEN. .00
TOTAL DUE 1,277.00(8
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT'' CCR), YQU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.