HomeMy WebLinkAbout06-11-10N0~'ICE OF INHERITANCE TAX ~t'trlS~/~V+1a
BUREAU OF INDIYIDUAL~_ r ;; i - ~EME~lT, ALLOWANCE OR DISALLOWANCE
~~~~~'' ~ ~' ~~;'DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-09)
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HARRISdUR6 PA 17121-0601 ~~~"'~'01 `" t ~~ s ~ ~` ~' }
~~~~ ~}~ { ~ ~~ ~+JJ DATE 06-08- 2010
ESTATE OF WYLIE WALTRAUD G
DATE OF DEATH D5-15-2009
~~.~» ~~ FILE NUMBER 21 09-0493
~~I~)I`~jS CrQ~j COUNTY CUMBERLAND
DAV I D W Il~a ~~ ~,"_`~, , ~,~- ACN 101
301 MARKET ST APPEAL DATE: 08-07-2010
P 0 BOX 10 9 ~ (See reverse side under Oh,~ec~ions )
LEMOYNE PA 17043 Auount Reiittedl ~~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
ALONG THIS- L~NE- - - - - ~- RETAIN LOWER PORTION FOR YOUR
CUT
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REV-1547 EX AFP IC12-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE 0F: WYLIE. WALTRAUD GFILE N0.:21 09-0493 ACN: 101 DATE: D6-08-2010
TAX RETURN WAS: C)O ACCEPTED AS FILED C ) CHANGED
....
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) 148, 000.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) .00 credit to your account,
0 0 submit the upper portion
3. Closely Held'Stock/Partnership Interest (Schedule C) C3) . of this form with your
4. Mortgages/Notes Receivable CSchodule D) C4) •0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Proper#y CSchodule E) C5) 27:554.33
6. Jointly Owned Property (Schedule F) C6) .0 0
7. Transfers (Schedule G) C7) .0 0
e. Total Assets C8) 175,554.33
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costa/Misc. Expenses (Schedule H) Cg) 2 7.OLI1.9 3
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 51 , 923.21
11. Total Deductions C11) 78,925.14
12. Net Value of Tax Return C12) 96, 629.19
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchodule J) C13) .0 0
14. Net Value of Estate Subject to Tax C14) 96, i2~-.19
NOTES If an assfsss~ent was issued previously,
reflect ,inures that include the total
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rata
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns assessed to date.
is. Amount of Line 14 taxable at Collateral/Class B rato
19. Principal Tax Due
TAX CREDITS:
Cis) .00 x
C16) _ OD X
cin _ nn x
Cis) 96, 629.19 X
00 ~ .00
045 ~ .00
12 ~ .00
15 14,494.38
C19?= 14,494.38
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
02-17-2010 D012 60 .00 14,494.38
06-01-2010 $BADJUST .00 3.19
TOTAL TAX PAYMENT 1.4,494.38
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 D E
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.