HomeMy WebLinkAbout07-06-10NOTICE OF INHERITANCE TAX ~~~,~"~'~~
APPR ~'~~~.~ ~~~CE QR DISALLQWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES r ~ ., -
INHERITANCE TAX DIVISION OF ~~~C~;~c~NS.,•,~11~-ASSESSMENT OF TAX REV-1547 Ex.AFP C12-09)
PO 80X 280601 '~~,~(~., i [:. t `•:di ~ ~. _.
HARRISSUR6 PA 17128-0601
~~~~ J~~ _b P~ 2; ~ i~ATE 06-21-2010
ESTATE OF EISENHOWER III HENRY F
eL~~~ ~~ DATE Of DEATH 11-11-2008
FILE NUMBER 21 08-1253
(NAN S COURT COUNTY CUMBERLAND
CORY L EISENHOWER CU~~~~~-~~~~'~ C.~'~. ~~~ ACN 101
4475 PANZA DR APPRAL DATE.: 08-20-2010
MEC HAN I CS BURG PA 17 0 50 (See reverse side render l?bject~ous)
Asount Raaittedt
MAKE CHECK PAYABLE AND REMIT PAYMENT TOs
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
CUT_ALONC_THIS_LINE______~- __RETAIN_LOWER_PORTION_FOR_YOUR________________________________
REV 1547 EX AFP CY2 093 NOTICE OF INHERITANCE TAX APPRAISE' RECORDS !~
' FMT, ALLOWANCE OR
D3SALLOWANCE OF DEDUCTIONS AND ASSE ~MENT OF TAX
ESTATE OF: EI;SENHOW~R III HENRY FFILE N0.:21 08-1253 ACN: 101 DATE: 06-21-2010
~.~_
TAX RETEJRN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) 112, 000.00
NOTE: To ensue proper
2. Stocks and Bands CSchodule B) C2) .0 0 credit to your account,
3. Closely Hold Stock/Partnership Interest CSchodul® C) C3) .0 0 submit the upper portion
of this fors pith your
4. Mortgages/Notes Reeeivablo CSchodule D) C4) .0 0 tax paysent.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 7,5 0 7.16
6. Jointly Owned Property (Schedule F) C6) .0 0
7. Transfers (Schedule G) C7) .0 0
s. Total Assets cs) 119,507.14
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funoral Expenses/Ads. Costs/Misc. Expenses (Schedule H) C9)_~_ 8.,26 1_27
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 169,913.93
11. Total Deductions Cii) ~. 178, 175;. 2Q
12. Net Value of Tax Return C12) 58, 668.0-
13. Charitable/Governsental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .Q 0
14. Net Yalue of Estate Subject to Tax C14) 58, 66R.Ori,~-
NOTE: If an assess~ent was issued previously,
reflect figures that include the total
ASSESSMENT OF TAX:
15. Asount of Line 14 at Spousal rate
16. Asount of Line 14 taxable at Lineal/Class A rate
17. Asount of Lino 14 at Sibling rata
lines 14, 1~ and/or 16, 17, 18 and 19 will
of A_ returns assessed to date.
ls. Asount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
C15) ~ .00 X
C16) _ ~0 X
c17)_ , _ on x
Cie) .00 X
00 ~ .Oa
045 a .00
12 ~ .O0
15 .OQ
C19)m . QO
PAYMENT
DATE RECE PT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .AO
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE ''DUE R
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. 'SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS ~,~~...