HomeMy WebLinkAbout06-11-10NOTICE OF INHERITANCE TAX ~'t~~/~Van
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BUREAU OF INDIVIDUAL IEIt~`
INiR;RITANCE TAX DIVISION °^rfi ~ ~-~, EDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP Clz-o9)
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NARRIS0UR6 PA 17128-0401
~~~~ ~~~ ~ ~ ~~ ~~~ ~~ DATE 06-08-2010
ESTATE OF BRUBAKER ANNA B
DATE OF DEATH 12-17-2001
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Q~ FILE NUMBER 21 09-1067
'~~~`S CURT COUNTY CUMBERLAND
KEITH D i~~~~~~ .,~~;`~~ ~~ , ACN 101
6 E MAIN ST '''~ APPEAL DATE: 08-07-2010
P O BOX 3 2 3 (See reverse side under Ob,~ecbions )
PALMYRA PA 17078 A~ount Reuftted ~-
NAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER Of WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
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REV-15
47 EX AFP 'C12-09) NOTICE OF IN ~ ~
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HERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: BRUBAKER ANNA BFILE N0.:21 09-1067 ACN: 101 DATE: 06-08-2010
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TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Reai Estate'CSchedule A) Cl) •0 0 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) 1 94.4 6 credit to your account,
3. Closely Held Stock/Partnership Interest CSchsdula C) C3) .0 0 submit the upper portion
of this form with your
4. Mortgages/Hates Rsceivable CSchsdula D) C4) •0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property CSchsdula E) C5) .2,04 3.3 0
d. Jointly Own~ld Property (Schedule F) Cd) .0 0
7. Transfers (Schedule G) (7) .0 0
8. Total Assets C8) 2.237.76
APPROVED DEDUCTI'~ONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Cy) 1.4 0 7.00
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 6 32.4 6
11. Total Deductions C11) 2, 039.4b
12. Net Value of Tax Return C12) 198.30
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchsdula J) C13) -~,~~ 168.56
14. Net Value of Estate Subject to Tax C14) 29_
NOTE: If an assess~ent was issued previously,
reflect figures that include the total
ASSESSMENT OF TAD(:
15. Amount of Line 14 at Spousal rate
ld. 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 A_LL- returns assessed to date.
18. Amount of Lino 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C-)
02-17-2010 CD012353 .00
06-01-2010 SBADJUST .00
C15) .00 x 00 = .00
Cld) _ ne x 045 = . DO
C17)_ _ oo x 12 .00
c18) 29.74 x 15 4.46
C19)= 4.46
AMOUNT PAID
4.46
1.93
TOTAL TAX PAYMENT 4.46
BALANCE OF TAX DUE .00
INTEREST .AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS RgFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE~ /''~,
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVRit3E SIDE OF THIS FORM FOR INSTRUCTIONS. ~r(J~/