HomeMy WebLinkAbout07-06-10BUREAU OF INDIVIDUAL TAXES
INNERITANCE TAX DIVISION
PO dOX 210601
NARRISeUR6 PA 17128-0601
NOTICE ,I~F,~ ERITANCE TAX
APPRAISEMENT, ~~~~?'~ LLOWANCE
Of DEDUCTION~~, ~` SES~ O`F TAX
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DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-09)
Z~if0~1U(, _~D ,, 06-21-2010
ESTA~~ ~F SEEK ROY E
~~R~~ E OF DEATH 02-04-2009
(~~~~.~ NUMHER 21 09 - 0551
CUR~~~..~,~ CUMBERLAND
JOHNNA J KDPECKY ESq , ~A, 101
SHAGIN LAW GROUP LL APPEAL DATE: 08-20-2010
120 S ST (See fieverse side under Obfecttons)
HBG PA 17101 Amount Remitted ~- ~~
MAKE CHECK PAYABLE AHD REMIT PAYMENT TO:
REGISTER OF WILLS
1 COUt~THOUSE SgUARE
CARLISLE PA 17013
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REV-1547 EX AFP C12-09? NOTICE ~F INHERITANCE TAX APPRAISEMENT, ALLOWANCE _--
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DISALLOMIANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SEEK ROY EFILE NO.s21 09-0551 ACM; 101 DATE: 06-21-2.010
TAX RETURN WAS: tX) ACCEPTED AS FILED C ) CHANGED
APPRAiSEt~ VALUE OF RETUi~N BASED ON: ORIGINAL RETURN
1. Real Estate CSchedulo A) C1) ~- 176,.110.20,- NOTE: To onsure proper
2. Stacks and Bonds (Schedule B) C2) .0 0 credit to your account,
submit the upper portion
3. Glosoly Hald Stook/Partnershiplnterest CSchedulo C) .0 0
C3) of this form with your
4. Mort~iapes/Notes Receivable CSchedulo D) C4) .0 0 tax paymont.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 12,205.87
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) C7) .0 0
8. Total Assets C8) 188 , 316,._07
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedulo H) Cg) 8.6 A 4.4 3
10. Debts/Mortgage Liabilities/Liens (Schedule i) C10)_, 172.390.33
11. Total Deductions C11) 181, 060.26
12 . Net Value of Tax Return C 12) 7 , 255.81
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) _~
14. Net Value of Estate Subject to Tax C14) ~~,~, 7,255.81
NOTE: If an assessment was issued Rreviously, lines 14, 15 and/or 16, 17 , 18 and 19 will
r®flect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Lins 14 at Spousal rate C15) •0 D X 0 0 a .0 0
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 7.21„ X 045 = 326.51
17. Amount of Line 14 at Sibling rate C17) .00 X 1 2 ° .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 )= 326.51
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
>>_n~_~nno cnnti:936 .00 326.51
TOTAL TAX PAYMENT 326.51
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 NAY BE D UE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS ~~