HomeMy WebLinkAbout07-06-10 (2)NOTICE OF INHERITANCE TAX Prtsy vat'~1t']
APPR Try _ E OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ; - t ~~ s ~~"
INHERITANCE TAX DIVISION OF i~~; ~' _°~'~~~ ~. SSESSMENT OF TAX REV-1547 EX AFP C12-09)
PO i01(( 280601 1~L~~~ ~~.~`` c ::.. i'.:~' ~ ~'
HARRISBURG PA 17128-0601 `° ` ' ~-~ ~ "~:.-.. r
~~~~ `~~L '6 Pty Z' ~ ESTATE OF COLLINSOIO SYLVIA F
DATE OF DRATH 02-07-2010
~~R~ of FILE NUMB~'R 21 10 - 0143
aRPF-~N`~ eQ~R~ COUNTY CUMBERLAND
RUSSELL W COLLINS ~U~~1~~Rj.~'~.~C~ ~~ P~ ACN 103
1167 S FORGE RD APPEAL DATE: 08-27-2010
PAL MYRA PA 17 0 78 (See reverse s~eie under Objections )
Amount R®Nitted `-
MAKE CHECK PAYA~.E AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOU~t RECORDS f~
r r r r r r r r w r r r.• r r r r r r r rr r r ..r r r r r r w r r rr r r~ w w r r rr r w -. r .. --
r r-- r--~ w r r r rr - w r r r- w r r r-- w r-- w w r
REV-1547 EX AFP C12-119) NOTICE OF INHERITANCE TAX APPRAISE~MLENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: COLLINS SYLVIA FfILE Nfl.:21 10-0143 ACM: 101 DATE: 06-2$-2020
TAX RETURN w/4S: OO.ACCEPTED AS FILED C ) CHANGED
~~~
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Roal Estate CSchodulo A) C1) .0 0 NOTE: To onsuro proper
2. Stocks and Bonds (Schedule B) C2) .0 0 credit to your account,
3. Closely Hold Stock/Partnership Interest (Schedule C) C3) .0 0 submit the upper portion
of this fors with your
4. Mort pages/Notes R•coivablo CSchodulo D) C4) •0 0 tax paysent.
5. Cash/Bank Deposits/Misc. Personal Property CSchodulo E) C5) 226, 759.44
6. Jointly Owned Property (Schedule F) C6) .0 0
7. Transfers (Schedule G) (7) .0 0
8. Total Assets C8) 126 , 759.44
APPROVED DEDUCTIONS AND EXEMPTIONSz
4. Funeral Expenses/Ads. Costs/Misc. Expenses CSchodulo H) C9) 1 0.83
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 10,0 2 0.55
l1. Total Deductions C11) __,20, 104. lj3
12. Not Value of .Tax Return C12) 106,655.31
13. Charitable/Governsental Bequests; Non-elected 9113 Trusts CSchediulo J) C13) __, .0'40
14. Net Value of Estate Subject to Tax C14) 106,655.311
NOTE: If an assass~ent was issued previously,
r®flect figures that include the total
ASSESSMENT OF TAX:
15. Asount of Line 14 at Spousal rate
16. Asount of Lino 14 taxable at Lineal/Class A rate
17. Asount of Line 14 at Sibling rate
lines 14, 15 and/or 16, 17, 18 and 19 will
of A..~L returns assessed to dat®.
la. Asount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Duo
TAX CREDITS:
c15) . 00 X
C16) 1 06 . 6~~ _ ~1 X
cln ~ =oo x
C18) . 00 x
00 .00
045 = 4,794.418
12 = . 0,~0
15 = . Oi0
C19)= 4,799 ;4~8_
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
03-23-2010 CD012511 239.97 4,559.51
TOTAL 'TAX PAYMENT 4,799.48
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.