HomeMy WebLinkAbout07-06-1011aT~~n. F ,I~NHERITANGE TAX f1t1SJf ~Ydt1'~
AU OF INDIVIDUAL TAXES A~~~14~Is1~"I`~;rl'~I,F~NCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INIfERITANCE TAX DIVISION ~~~!~;~I~'$n,AND ASSESSMENT 0~ TAX REV-1547 EX AFP C12-09)
PO 8QX 280601 "',~' ~ ~~ ~~
NARRIS8UR6 PA 17128-0601
2~~~ ~~~. '6 P~ ~~ 2 ~ DATE 06-21-2010
ESTATE OF MEREDITH JUSTIN B
~~~ Q~ DATE OF DEATH 06-20-2009
~~~;~'~ ~~(~~T FILE NUMBER 21 09-0832
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' COUNTY CUMBERLAND
JAMES M ROBINSON
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ACN 101
28 S PITT ST APPEAL DATE: 08-20-2010
CARL I SL E PA 17 013 (See reverse side Winder Ub}ed~oris)
Amount Ren~.tted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
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CUT ALONE THIS LINE. ~!- RETAIN LOWER PORTION FOR YOUR RECORDS ~
_
REV-1547 EX AFP C12-09) NOTICE OF LNHERITANCE TAX APPRAISEN~ENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: MEREDITH JUSTIN BFILE N0 .:21 09.-OQ32 ACN: 101 DATE: 06-21-21010
TAX RETURN WAS: CX) ACCEPTE D AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED DN: ORIGINAL RETURN
1. Real Estate CSchodule A) Ci) 118, 603, 80 NOTE: To ensure proper
2. Stocks and Bonds CSchodula B) C2) .00 credit to your account,
3. Closely Hold Stock/Partnership Interest CSchodula C) C3) .0 0 submit the upper 'portion
of this form with your
4. Mortgagor/Notes Receivable (Schedule D) C4) •0 ~ tax payment.
5. Cash/Bank Deposits/Misc. Personal Property CSchodule E) C5) 1,0 2 0.0 0
6. Jointly Owned Property (Schedule F) C6) .0 0
7. Transfers CSchodule G) C7) .0 0
s. Total As:ets Cs) 119,623.610
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchodule H) C9)_=,1.0.11.75
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 90,499.79
il. Total Deductions C11) 111,511.54
12. Net Value of Tax Return C12) 8, 112.216
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchodule J) C13) .0 b
14. Not Value of Estate Subject to Tax C14) ~~,8,1-~
NOTE: If an assess~ent wss issued previously,
reflect fipurss that include the total
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Lino 14 at Sibling rate
lines 14, 15 and/or 16, 17, la and 19 will
of A_ returns assessed to date.
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Dua
TAX CREDITS:
cis) .00 x
C16) 8.112.26 X
C17) _ ee x
cis) • 00 x
00 _ .0
045 ' 365.05
12 .Okt
-~_w
15 =__ • Op
u9)= 365..05
PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
nz_ »_~n~n rnn»~m~ nn z « nc
TOTAL TAX PAYMENT 365.05.
BALANCE OF TAX DUE .00
INTEREST. AND REM. .00
TOTAL DUE .0.0
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE' DUE~;~
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.