HomeMy WebLinkAbout07-06-10- NOTIC~E~.OF I ERITANCE TAX ~11nS~ VI~I~~+a
App.~~~'; ~',~dNCE fJR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION O~;Z~D ,t' ~~N~,~tEA1ND ASSESSMENT OF TAX REV-1547 EX AFP C12-09)
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HARRISBURG PA 17125-0601
~~i~ ~` --~ ~N ,~: ~ J DATE 06-28-2010
ESTATE OF HARDER ERNEST L
~~~~ ~~ DATE OF DEATH 12-17-2009
`~1"1i~Er~ ~Q~~~ FILE NUMBP+R 21 10 - 0250
OGER B IRWIN ESQ GU~~r~t~~~~~ ~~n.. PA. C4NNTY lO1BERLAND
R AC
60 W PROMFRET ST APPEAL DATE: 08-27-2010
CAR L I S L E P A 17 013 (See reverse side under +ectiures )
Auount RtMitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TOs
REGISTER OF WILLS
1 COUF~THOUSE SQUARE
CARLISLE PA 17013
CUT ALONC THIS LINE ~ RETAIN LOWER PORTION FOR YOU~t RECORDS !~
REV-1547 EX AFP Ci2-09) NQTICE OF INHERITANCE TAX A!a'PRAI~IMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE 0F: HARDER ERNEST LFILE NO.:21 10-0250 ACN: 101 DATE: 06-28-010
TAX RETURN WAS: C)O ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .0 0 NOTE: To ensure q~roper
2. Stocks and Bonds (Schedule B) C2) .0 0 credit to your account,
subait the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .00 of this fora with your
4. Mortgages/Notos Receivable (Schedule D) C4) •0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) ' 2 0.00
6. Jointly Owned Property (Schedule F) C6) 21 , 278.35
7. Transfers (Schedule G) C7) .0 0
8. Totai Assets C8) 21 , 298.35
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 10.48 1.8 3
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 5,4.2 2.55
11. Total Deductions C11) 15,904.318
12. Net Value of Tax Return C12) 5,383.9
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchedwle J) C13) .0 0
14. Net Valu• of Estate Subject to Tax C14) ~ 5, 393.97
NOTE: If an assessuent was issuedprewiouslY, lines 14, 15 andlor ib, i7, 18 and 19 will
reflect figures that inelude the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate C15) .0 0 X 0 0 = .0 Q
16. Amount of Line 14 taxable at Lineal/Class A rate C16) -d0 x 045 = ,,. Op
17. Amount of Line 14 at Sibling rate C17) __, 5.393 _ 97 X 12 = 647.23
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 D X 1 5 = .0 ~
19. Principal Tax Due C19 )= 647.2$
TAY [•_QEBITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
03-12-2010 CD012456 32.36 614.42
TOTAL TAX PAYMEI~i'f' 647.28
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'. ~~
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