HomeMy WebLinkAbout07-09-10BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF._LN~,~B~_T~N.C~..T~C
APPRAISEMENT, AL~LbWA1~C`L' ~t~ I1~~S~#1.LOWANCE
OF DEDUCTIONS 1'D~A~~~SS~I;EWT OF TAX
(1) .00
(2) .00
(3) .00
(4) .00
(5) 467.85
(6) .00
(~) .00
Z~IOJ~L'D~TEP1'~IZ; 4$ 07-05-2010
ROSE KAUFFMAN
24 ESSEX RD
CAMP HILL
ESTATE OF KAUFFMAN ELMER S
~~A.~~~F DEATH 03-22-2010
QR~~h~r~~E`t1~1ER 21 10 - 0305
C, ~j`~~-.~c~,~~`;'' _ ~~, 101BERLAND
APPEAL DATE: 09-03-2010
P A 17 011 (See reverse side under Objections
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE _ --! R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS f-- _ ___________ ___
REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR -
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: KAUFFMAN ELMER SFILE N0.:21 10-0305 ACN: 101 DATE: 07-05-2010
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
pennsylvan~a
DEPARTMENT OF REVENUE
REY-1547 EX AFP (12-09)
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
(8) 467.85
(9) .00
clo) .00
11. Total Deductions C11) .0 0
12. Net Value of Tax Return C12) 467.85
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14 tate Subject to Tax
f E
t V
l
N (14) 467.85
. ue o
s
a
e
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate C15) 467.85 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) .0 0 X 04 5 ~ .0 0
17. Amount of Line 14 at Sibling rate (17) .00 X 12 ~- .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 - .0 0
19. Principal Tax Due (19)- .0 0
T4X CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX PAYMENT .00
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" (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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