HomeMy WebLinkAbout05-17-10COMMONWEALTH OF PENNSYLVANIA
.DEPARTMENT OF REVENUE ~'11nS~~'Va11'ic~ .
~'~ ~~~j ~~~ ~..
~"'..~:-~~°'~ `-~`' DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ,.,,.~. ~~_ ~ ~~ OF NONRESIDENT INHERITANCE
INHERITANCE TAX DIVISION t"f~~~ t,r+ -`~-ppRAISENENT, ALLOWANCE OR REV-537 Ex AFP c12-o9)
Po Boot 2Baao1 DISALLOWANCE OF DEDUCTIONS,
HARRISBURG PA 17128-0601
ASSESSMENT OF TAX
~~~~ ~~~ ~ 7 P~ ~+ ~ DATE 05-17 - 2010
ESTATE OF PATTERSON SR GEORGE F
~~, DATE OF DEATH 01-29-2009 ~ I_ ~~ _-1~a.
~~~P~~ ~~ ~ FILE NUMBER 99 09-0794 ~L
( ;jj ~~~~ ~~~~ COUNTY NON-RESIDENT
DANIEL K CAFES E~~~ ACN 101
4001 TAMIAMI TR N APPEAL DATE: 07-16-2010
DUNWOODY ETAL STE 200 (See reverse side under Objections)
NAPLES FL 34103 Auount R®uitted ~ -~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
PA DEPARTMENT OF REVENUE
P.O. BOX 280601
HARRISBURG, PA 17128-0601
CUT ALONC THIS LINE ~- RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-537 EX AFP C12-09~ NOTICE OF NONRESIDENT INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF PATTERSflN SR GEORGE F FILE N0. 99 09-0794 ACN 101 DATE 05-17-2010
TAX COMPUTATION METHOD ELECTED: CX) FLAT RATE C ) PROPORTIONATE
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
on.n.~.r^ir.rr.^ma
RESERYATIQ?N CCNCEIIN6 FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF' RETURN BASED 0N: ORIGINAL RETURN
1. Real Estate CScheduls A) Cl) 205, 000.00 NOTE: To insure proper
2. Stocks and Bonds CScheduls B) (2) •0 0 credit to your account,
3. Closely Held Stock/Partnership Interest CScheduls C) C3) •00 submit the upRSr portion
4. NortBaBss/Notes Receivable CSchsdule D) C4) •Ofl of this form with your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 25,7 7 7.0 0 tax payment.
6. Jointly Owned Property CSchsdule F) C6) .0 0
7. Transfers CSchodule G) C7) .0 0
8. Total Assets C8) 230, 777.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expsnsss/Adm. Coats/Misc. Expsnsss (Schedule H) C9) .0 0
10. Debts/Mortpape Liabilities/Liens CSchsdule I) C10) .0__
11. Total Deductions C11) .0 0
12. Nst Value of Tax Return C12) 230,777.00
13. Charitable/Governmental Bequests CScheduls J) C1S) .OD
14. Met Value of Estate Subject to Tax C14) 230;~77~. 7
NOTE: If an asssss~ent was issued previously, lines 14, 15 and/or 1 6, 17, 18 and 19 will
reflect figures that ineiude the total of ~as. returns assesse d to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rats C15) .0 0 X 0 0 = .0 0
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 230,777.00 X 045 = 10,384.97
17. Aaount of Line 14 at Sib13nB rate C17) .0 0 X 12 = .0 0
la. Amount of Lino 14 taxable at Collateral/Class B ra ts C18) .0 0 X 15 = .0 0
19. Principal Tax Duo
TAY r*oen*TC-, C19) 10, 384.97
DATE
NUMBER +
INTEREST/PEN PAID C-) AMOUNT PAID
10-29-2009 NR012527 .00 11,000.00
TOTAL TAX CREDIT 11,000.00
BALANCE OF TAX DUE 615.Q3CR
INTEREST AND PEN. .00
TOTAL DUE 615.03CR
* IF PAID AFTER DATE INDICATED, SEE REVERSE C IF TOTAL DUE IS LESS THAN B1, NO PAYMENT IS REQUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) ~~~~
REV-1737-2 IX +{6-OS) (Fl)
Pennsylvania
DEPARTMENT OF REVENUE
~' '`'r- INHERITANCE TAX RENRN
NONRESIDENT DECEDENT'
SCN®o~liE Ai PART 1
REAL. ~liTA'1~'
IN PENNlYL~ANIA
1
-___
- - ESTATE OF -FILE NUMBER..
George; F. Patterson, Sr.
Part 1 must include ail real owned by the decedent individually or as a tenant in common with arxrther party(ies), having its
§itus in . Penns)rivania. ~~~ j~ir-owned witfi right of survivor~t~ should be diack~sed on Schedule F. Ali real estate must be
rted at fair marl~etP~~which is dined as -the . ~ which would be exch between a w~lin bu er and a
~ wining shier, nether being welled to buy ~ and r g reasonable k of the relevant facts.
pf more space is needed, use additional sheets of paper of the same siz®)
,~E1i~173i~4 D(+ (~)
pennsylvarria
.DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
_ NONE
SClf~pt~LE B, RAFT ~ 1
. ~~sc~«~o~s
PERBOHAL PR4P~~TY
ESTATE OF FILE Nt~MBER
George F. Patterson, Sr. s
Part 1 must include all tangible personal property having its sites in Pennsylvania. ~Exampies of tangle personal property are
jewelry, furniture, paint~+gs, etc. AN property 1~Y-~d with the right of suryhra~ship nwst bs discbsed on Schedule F.
Cornplelos Part 2 on renrsrss side ONLY when the proportionate rr~sthod of tax oomputaetion is elected.
i~
€_
F
a
-~_~
PlART 1 T01fAL _ 25,777.00
~ ,;:_~ .
S TOTAL 0.00
(From reverse side.) ~ ; , ,,
TOTAL .(Also enter on Line 5. Recapitulation.) S 25,777.00
(If mare space is needed, use additional sheets of paper of the same size)
COMMONWEALTH OF PENNSYLVANIA PENN:~'iYLVANlA
DEPARTMENT OF REVENUE
BUREAU OF INDMD~JAL TAXES INHERITANCE AND STATE TAX
HARRISB80601PA 17128-0601 ~~~ii'C'AL RE~E1I~ r
r
No. NR012527
RECEIVED FROM: ACN
ASSESSMENT
DUNWODY WHITE & LANDON PA CONTROL AMOUNT
NUMBER
DANIEL CAPES
4001 TAMIAMI TRAIL NORTH QUITE 200
NAPLES FL 34103
101
11,000.00
ESTATE INFORMATION
FILE NUMBER
99 09-0794
NAME OF DECEDENT (LAST) (FIRST) (Mq
PATTER30N SR ~EORGE~ F
DATE OF PAYMENT
11/20/2009
POSTMARK DATE
10/28/2009
coUNTY
Non-Resident
DATE OF DEATH
1129/2009
REMARKS
SEAL
COMMO1111AAt'AL.TH OFj PtNNAY1.VAN1A
DIEPARTMEIVT Of= REVENVE
TOTAL AMOUNT PAID X11,000.00
RECEIVED BY
John M. Riedman
Register