HomeMy WebLinkAbout07-06-10~. dI~Q.TICE OF INHERITANCE TAX ~~~n Va111t'a
~'~~'+~ ~ ~~ ~NT, ALLOWANCE OR DISALLOWANCE
°" ~ ;a sr~~~~~,~~+4= DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXI" , ;, ~ . ~~' ,- p /+
INHERITANCE TAX DIVISION r •~~ C ~' ~~"~~~IE~U\iTIONS ANII J~$SESSMENT OF TAX REV-1547 EX AFP C12-09)
PO DOX 280601 ~~~ -~~`', . ~;, ~ ;~; . ,4_~ ;:
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HARRISBURG PA 17128-0681
~~ ~ ~ .~~t _ ~ P ~ '"'. ~ ~ DATE 0 6 - 21- 2 010
ESTATE OF ORRIS LESTER D
~~~~~ ~~ DATE OF DEATH 02-28-2009
,~ ~~U~-~ FILE NUMBER 21 09-0368
COUNTY CUMBERLAND
CYNTHIA L AMIQ~;~~~~~.~.~~i~ ~'~ ~ ~" ACN 101
5 BULL RUN CT APPEAL DATE: D8-20-2010
MECHANICSBURG PA 17050 (See ~-everse s&le x~der Objecl~rins)
Asfount Remitted
HAKE CNECK'PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
~- __RETAIN-LOMIER_RI?~tTION_FOR
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REV-1.547 EX AFP C12-09) NOTICE OF INHERITANCE TAX APPR ISEMIENT, ALLOWANCE
A OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: ORRIS LESTER DFILE N0.:21 09-0368 ACN: 101 DATES 06-21-2p10
TAX RETURN WASs Cx) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estato CSchedule A) C1) •O Q NOTE: To ensure proper
C2) .0 0 credit to your account,
2. Stocks and Bonds CSchedule B) submit the upper portion
3. Closely Hold Stock/Partnership Interest CSchedulr C) C3) .00 of this form with your
4. Mortgages/Notes Receivable CSchedule D) C4) .0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property CSchedule E) C5) 3,2 6 1.84
6. Jointly Owned Property CSchedule F) C6) .0 0
7. Transfers CSchedule G) C7) .00
8. Total Assets C8) 3.261. $4
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule H) Cg) ~ 3.2 6 1.8.4
10. Debts/MortpaBe Liabilities/Liens CSchedule I) C10)~, .0 0
C11) 3,261.84
11. Total Deductions 0 0
12. Net Value of Tax Return C12) .
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchedule J) C13)
14. Net Value of Estate Subject to Tax C14) •0 ~
NOTE: If an assess~ent was issued previously, lines 14, 15 and/or 16, 17 , 18 and 19 will
reflect fitiures that include the total of ALL returns assessed to date.
ASSESS MENT OF TAX:
0 0
0 0
¢ .0 0
15. Amount of Line 14 at Spousal rate C15) . X
16. Amount of Line 14 taxable at Lineal/Class A rate C16) __~ -d Q- X 04 5 " .0 0
17. Amount of Line 14 at Sibiinp rate C17) -0 D X 12 ' .0 0
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 1 5 ~ .0 0
19. Principal Tax Due C19 )= .0 0
rwv ro cnTre.
PAYMENT
DATE RECEIPT
NUMBER DISGOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX PAYMENT ,00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUf .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUCE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. S