HomeMy WebLinkAbout06-21-10NOTICE OF INNERITANCE TAX pn~sy~lYa~ia
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES ,~ ,,~~, DEPARTMENT OF REVENUE
INNERiTANCE TAX DIVISION ~-~ t ~q~~~~~~5 AND ASSESSMENT OF TAX REV-1547 EX AFP C12-09)
PO ~( 280601 t ~~,
IikRRISBUitc PA 17128-0601 :~~ ~"' ~ ~ m,~; ."~
DATE 06-14-2010
~~~~ ~~~ ~ ~ P~ ~~ ~~ DATETOFOF 11230-2008 RUDOLPH J
DEATH
FILE NUNHER 21 09-0079
~'~ ~~ COUNTY CUMBERLAND
TRIDA A NAYLOR ~' ~~~" ACN l0I
104 S HANOVER ST ~ ~~~~A APPEAL DATE: 08-13-2010
CA R L I S L E P A 17 013 (See reverse aide under Oh~Pectioxs )
Auount Reutted ~-
MAKE CHECK'PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~'! RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1547 EX AFP C12-09) NOTICE OF INHERITANCE TAX APPRAISENENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OFs TEZAK RUDOLPH JFILE N0.:21 09-0079 ACN: 101 DATE: Q6-14-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED 0N: ORIGINAL RETURN
l . Real Estate (Schedule A) C1) 155., 000.00
NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) 4 8 3.2 1 credit to your account,
3. Closely Neld Stock/Partnership Interest (Schedule C) C3) .0 0 subsit the upper portion
of this tors with your
4. Mortgages/Notes Receivable (Schedule D) C4) .0 0 tax paysent.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5)_, 5,708.70
6. Jointly Owned Property (Schedule F) (6) 74,566.81
7. Transfers (Schedule 6) (7) .0 0
8. Total Assets (e) 235, 758.72
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Ads. Costs/Misc. Expenses (Schedule H) (y) 3 6.58 6.0 ;
10. Debts/Morteap• Liabilities/Liens CSchedula I) C10) 3 7 7.9 3
11. Total Deductions C11) 3b, 9b3.96
12. Net Value of Tax Return C12) 198 s 794.76
13. Charitable/Covernsental Bequests; Hon-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax C14) 198,794.76
NOTE: If sn sssess~®nt 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. Asount of Line 14 at Spousal rate C15) .0 0 X 0 0 .0 0
16. Asount of Line 14 taxable at Lineal/Class A rate C16) 19 8 .794 _ 76 X 045 ~ 8, 94.5.76
17. Asount of Line 14 at Sibling rate C17) _0 0 X 1 2 ~ .00
18. Asount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X. 15 ~ .0 0
19. Principal Tax Due C19)= 8, 945.76
TAX CREDITS: .~ ~~~~
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
02-27-2009 CD010950 447.29 10,000.00
~ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX PAYMENT 10,447.29
BALANCE OF TAX DUE 1,501.53CR
INTEREST AND PEN. .00
TOTAL D!!E 1, 501.53CR
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. (~n_