HomeMy WebLinkAbout07-06-10NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~'~i~~s€~,LLOWAt!LCE OR DISALLOWANCE
°~~~ •-, ~Of~-, ~E~~ ~ ~NS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION j,;t. ~ ~ ~.
PO BOX 210601 x"12 ...1 ~ ~ ~.~ t ~~ , c ~i~:. r
NARRISBURG PA 17128-0601
JAN L BROWN
STE 12
845 SIR THOMAS CT
HBG
Z~~O.lUL -6 P~ 2=
CLERK
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PA 17109
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DEPARTMENT OF REVENUE
REV-1547 IX AFP C12-04)
DATE 06-28-2010
ESTATE OF RAFFENSPERGER ELEANOR L
DATE OF DEATH 01-07-2010
FILE NUMBER 21 1Q-0077
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 08-27-2010
(See reverse side under Olyec~ions)
ABSOUnt R`~itted~+
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONt THIS LINE ~ RETAIN LOWER PORTION FOR
--~..~.. r--------.'--~---~ YOU~i RECORDS !~
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REV-1547 EX AFP C12-09) NOTICE OF INHERITANCE TAX APPRAISE~EMT, ALLOWANCE OR
DISALLOWCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: RAFFENSpERGER ELEANOR LFILE N0.:21 10-0077 ACN: 101 DATE: 06-28-2010
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED-VALUE OF RETURN BASED ONs ORIGINAL RETURN
1. Reel Estate (Schedule A) C1) .0 0 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) .O Q credit to your account,
submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .0 0 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) 9'5,4 5 7.1.8
6. Jointly Owned Property (Schedule F) Cg) 30, 735.02
7. Transfers (Schedule G) (7) 616,873.39
8. Total Assets C8) 743, 065.59
APPROVED DEDUCTIONS AND EXEMPTIONSs
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)~_~ _~„~ • 08,~,~ 38
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 1,0 1 8.4 0
11. Total Deductions C11) ~~.20, 104.7
c 12 ) ~ b D . 8
12. Net Valu• of Tax Return
_,,,_,
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) _„_, •0 0
14. Net Value of Estate Subject to Tax (14) 722, 96Q=^-
NOTE: If an assessment was issued previously, lines 14, 15 andlor 16, 17 , 18 and 19 will
reflect figures that include the total of ALA returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate C15) .00 X DO .00
16. Amount of Line 14 taxable at Lfneal/Class A rate C16) 7' • 46~~ X 045 = 32, 533.2~i
17. Amount of Line 14 at Sibling rate C17) - DD X 12 ~_~ . Op
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 1 5 ~,_,,,~
19. Principal tax Due C19 ) ~~2,533.2~i
TAY f`QFl'f T TS
PAYMENT
DATE RECEIPT
NUMBER DISCOUNt C+)
INTEREST/PEN PAID C-) AMOUNT PAID
04-06-2010 CD012581 718.89 13,658.87
04-06-2010 CD012582 907.77 17,247.71
TOTAL TAX PAYMENT 32,533.24
BALANCE OF TAX DUE .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.