HomeMy WebLinkAbout07-06-10"`r: ;^ ,, ~~: ~~ ER I TANCE TAX ~~~"~~J/~V~l1~a
APP ~~~' ,.,l~t,~`pNCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES }~ ,, }..
INHERITANCE TAX DIVISION OF, tii{1~:9s1'~~~' ASSESSMENT O~ TAX REV-1547 EX AFP C12-09)
PO !OX 280601
HARRIS8UR6 PA 17128-0601
~Q`~.~~~. "~- P~ ~~ ~2DATE 06-21-2010
ESTATE OF HOCKENBERRY DAVID R
~~~K ~~ DATE OF DEATH 06-26-2009
a~~~tS ~~~~ FILE NUMBER 21 IO-02d4
~-~~~~~-~~'~~ ~~' - PA: COUNTY CUMBERLAND
SUSANN B NURRISON ACN 101
354 ALEXANDER SPRING RD APPEAL DATE: OS-20-2010
CARLISLE PA 17 015 (See reverse side under Objecl~tons)
Auount Reuitted
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 ~
- - - - - - - - - - - - - - ~ - - - .r - - - - - - - - - - - - r - - - - - - - r r r - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
REV-1547 EX AFP C12-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTION°S AND ASSESSMENT OF TAX
ESTATE OFz HOCKEN-BERRY DAVID RFILE N0.:21 10-0264 ACN.: 101 DATE: Od-21-2110
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE Of RETURN BASED ON: ORIGINAL RETURN
1. Real Estate CSchedul• A) (1) 33,120.00 NOTE: To ensure pfoper
2. Stocks and Bonds (Schedule B) CZ) .Q Q credit to your account.
3. Closely Hsld Stock/Partnership Into-rest (Schedule C) C3) .~ ~ submit the upper portion
of this form with your
4. MortBapesJNotos Racoivable CScheduls D) C4) •d 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property CScheduls E) C5) 2 9,26 0
6. Jointly Owned Property CScheduls F) C6) .0 0
7. Transfers (Schedule G) C7) .0 0
8. Total Assets C8) 62,400.O.b
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CScheduls H) Cg)_, 1.7.8 3,:
10. Debts/Mortaape Liabilities/Liens (Schedule I) C10) .0 0
11. Total Deductions C11) 1,7$3.50
12. Net Value of Tax Retwrn C12) 60,616.5111
13. Charitable/6ovsrnmontal Bequests: Non-elected 9113 Trusts CScheduls J) C13) .0 0
14. Net Value of Estate Subject to Tax C14) 60,, 61~~ 0~
NOTE: If an assess~ent was issued previously,
reflect figures that include the total
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Lins 14 taxablo at Lineal/Class A rats
17. Amount of Lin• 14 at Sibling rate
lines 14, 15 and/or 16, 17, 18 and 19 will
of A_ returns assessed to date.
18. Amount of Lin• 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
cl5) d0,61d.50 X
C16) ,~~ X
C1~) _ eo x
C18) • 00 X
00 .00'~
045 a .Oa
12 a . 00~
15 .001
c19)= .00
PAYMENT
DATE RECEIP
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE 'DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS...~~~