HomeMy WebLinkAbout07-16-10BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
RONALD T DERENZO
PO BOX 207
111 E MARKET ST
POTTSVILLE
NOTICE OF INHERITANCE TAX
q;p:p~~~Sfa~hlEtrl~-~z~~-~OWANCE OR DISALLOWANCE
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.0~.,~DEDU.D1'x,~,hl ^ AND ASSESSMENT OF TAX
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: BRINK EVELYN LFILE N0.:21 09-0861 ACN: 101 DATE: 07-13-2010
TAX RETURN WAS: (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)
pennsylvania ~ aV.
DEPARTMENT OF REVENUE
REV-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) 396 , 076.07
(9) 33 , 958.96
(lo) 876.00
(11) 34,834.96
11. Total Deductions 241.11
361
12. Net Value of Tax Return (1Z) ,
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax ( 14) 361 , 241.1 1
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
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAY f DCTITTC
(15) 23,249.59 X 00 = .00
(16) 337 , 991 _ 5? x 045 = 15, 209.62
(18) .00 X 15 = .00
(19)= 15, 209 .62
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
11-20-2009 CD012023 752.b3 14,300.00
04-23-2010 CD012657 .00 157.01
(1) .00
(2) 277, 787.19
(3) .00
(4) .00
(5) 70,688.34
(6) 24,350.95
(7) 23,249.59
~~~~ J~~. ~ ~ Pl~ ~~~ ~g ESTATE OF BRINK-2010 EVELYN L
DATE OF DEATH 08-27-2009
~LE~K _~~~ FILE NUMBER 21 09-0$61
~R~~r~~~~ 4~~U~T COUNTY CUMBERLAND
~il,'~ ;~+~ ~-""'--., ., ~,-~ ,~,r• ~~ ACN 101
APPEAL DATE: 09-11-2010
(See reverse side under Objections
PA 17901-0207 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TOTAL TAX PAYMENT 15,209.64
BALANCE OF TAX DUE .02CR
INTEREST AND PEN. .00
TOTAL DUE .02CR
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUFF
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ;~/
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