HomeMy WebLinkAbout07-06-10~, ~~-.,~~,-- ~' .OF INHERITANCE TAX ~e~nSy~Vanl
BUREAU OF INDIVIDUAL TAXES ~ ~ ~~'~~~~"'' ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~~ ~~~"; ~Ij;~ONS AND ASSESSMENT OF TAX REV-1547 EX AFP C12-09)
PO BOX 280601
HARRISBURG PA 17128-0601
~~~~ •~~~. '-E3 ~~ ~' ~ 4. DATE Ob-28-2010
ESTATE OF BAIR II ROBERT 0
(',~~}~ ~F DATE OF DEATH 10-20-2009
(P~-'~ ~(a~~T F I LE NUM11R'~~R 21 0 9 -1171
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~, COUNTY CUMBERLAND
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ROBERT P KLINE ACN 101
714 BRIDGE ST APPEAL DATE: 08-2 7-2010
PO BOX 461 (See rtverse s unt~r O~jec~iotes)
NEW CUMBERLAND PA 17070 Aaount Rselitted ~- ^~
MAKE CHECK PAYAfLE AND REMIT PAYMENT T0:
REGISTER OF WIL D
1 COURTHOUSE SpUARE
CARLISLE PA 17013
CUT ALONG TNIS LINE _ ~! RETAIN LOWER PORTION FOR YOUR RECD~tDS !~
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REV-1547 EX AFP C12-09) NOTICE OF IN'H`ERITANCE
11
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TAX APPRAIEIMEwT, ALLOWANCE _
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OR
DISALLOWANCE Of DEDUCTIONS AND ASSEISSMENT OF TAX
ESTATE OFs BAIR II ROBERT OFILE N0 .:21 09-1171 ACM: 101 DATE: 06-28-2010
TAX RETURN WAS: C X) ACCEPTE D AS FILED C ) CHANSED
APPRAISED VALUE OF RETURN BASED ONs ORIGINAL RETURN`
1. Rsal Estate tSchedule A) C1) 22'5,D'00.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) •0 0 credit to your account,
3. Closely Held Stock/Partnership Interest CSchedula C) C3) •0 0 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) t4) •0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property CSchadule E) C5) 126,589.75
6. Jointly Owned Property CSchadule F) C6) .0 0
7. Transfers CSchedula G) (7) 82,71$.36
8. Total assets CS) 434 , 308.11
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Cg)__9.1 6 8.90
10. Debts/Mortgage Liabilities/Lions CSchedula I) Clo) 4 3 0.0 9
11. Total Deductions cll) 9,598.919
12. Nat Value of Tax Return C12) 424,709.1'2
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13. Charitable/Governmental Bequests; Non-elected 4113 Trusts CSchedula J) C13) .0 0
14. Nat Value of Estate Subject to Tax (14) 424, 709.1'.2
NOTE: If an assess~ent wss issued previously,
reflect figures that include the total
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rats
17. Amount of Lino 14 at Sibling rate
lines 14, 15 and/or Yb, 17, 18 and 19 will
of ALL returns assessed to date.
18. Amount of Lina 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
c15) . 00 X
C 17 ) ^ _~,_~ X
cl$) .00 x
00 .00
045 19,111 .9~1
12 s . 0.0
15 . aI0
C19)= 19,111 .91
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
03-15-2010 CD012470 .00 19,111.91
TOTAL TAX PAYMENT 19,111.91
BALANCE OF TAX D~lE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* 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. '~`~~
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