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HomeMy WebLinkAbout07-06-10 (2)NOTICE OF IN~,ERITANCE TAX ~f~t"IS~~'~!'~~'t~t'~ BUREAU OF INDIVIDUAL TAXES APPIi~~~l~~'.,~1°~~,+~ 1~JfCE OR DISALLOWANCE DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION OF ~;IrO;~$kl~~q!1 ASSESSMENT OF TAX REV-1547 EX AFP C12-09) PO BQX 200601 ~ : ~.,a.:~ ~~ ~ `v~ ~ v s~....: ,: HARRISOURG PA 17120-0601 ~(~:Q ~~~.. "6 P~ ~: ~ DATE 06-28-2010 ESTATE OF HOSTETTER BETTY J ~~ DATE OF DEATH 12-12-2008 ~~,~ ~~u~-~ FILE NUMBER 21 09-0017 CYNTHIA L MERCURI ~~~~~~~~~ ~~„ ~~; COUNTY CUMBERLAND ACN 101 26 SADDLEBROOK LAME APPEAL DATE: 08-27-2010 PHOE N I XV I L L E PA 1946 0 (Sec revLrse side tinder Objections ) A~ount Rea3#ted MAKE GHECK PAYABLE ANn REMIT PAYMENT TOs REGISTER OF WILLS 1 COURTHOUSE SgUARE CARLISLE PA 17013 CUT ALOf~kC THiS LINE _ ~! R_ETA_IN LOWER PORTION_ FOR YQU~ RECORDS ~ _ _ REV-1547 EX AFP C12-09) NOTICE OF INHERITANCE TAX APPRAISE~ENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE 0F: HOSTETTER BETTY JFILE N0.:21 09-0017 ACN: 101 DATES 06-28-.21010 TAX RETURN WAS: Cx) ACCEPTED AS FILED t ) CNAN6ED ~~~..~~ APPRAISED VALUE OF RETURN BASED ONs ORIGINAL RETURN 1. Real Estate (Schedule A) C1) •0 © NOTE: To ensure proper 2. Stocks and Bonds (Schedule B) (2) 31,164.80 credit to your account, .00 submit the upper (portion 3. Closely Held Stock/Partnership Interest (Schedule C) C3) of this form with your 4. Mortgages/Notes Receivable (Schedule D) C4) •0 0 tax payment. 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 5,6 9 0.0 3 6. Jointly Owned Property (Schedule F) Cb) •~© 7. Transfers (Schedule 6) (7) 117, 095.60 8. Total Assets C8) 153, 950 . ~1 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Cg) 1.6.72.1.0 0 10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) •Q 11. Total Deductions C11) 16,721.010 12. Net Value of Tax Return C12) 137,229.3;1 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) _~,~,~~D 14. Net Value of Estate Subject to Tax C14) 137, 229. 3'M1 NOTES If an assess~ent was issued previously, lines 14, 15 and/or 16, 17, id and 19 will reflect figures that include the total of A_ returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate C15) .00 X 00 = .0'0 16. Amount of Line 14 taxable at Lineal/Class A rate C16)_~,37.' :9.31 X 045 _, 6,175.3(2 17. Amount of Line 14 at Sibling rate C17) _ 0® X 12 = ~ . OHIO 18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 = .OO 19. Principal Tax Due C19)= 6, 175.312 TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID 04-24-2009 CDOlllb3 .00 323.91 03-10-2010 CD012447 .00 5,851.41 BALANCE OF UNPAID INTEREST/PENALTY AS OF 03-11-2010 * IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. TOTAL TAX PAYMENT 6,175.32 BALANCE OF TAX DUE ,0Q INTEREST AND PEN. 132.59 TOTAL DUE 132.59 IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS