HomeMy WebLinkAbout07-23-10. \
NOTICE OF INHERITANCE TAX pennsylvan~a ~
BUREAU OF INDIVIDUAL >". .: ~~R'AISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
.TAXES . ~. ~ ;,.
INHERITANCE TAX DIVISION: ``OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP C12-09)
PO BOX 280601 - --
HARRISBURG PA 17128-0601 ~ "~ "'
r,,,.,, „n ,,, ~ ~ ,,,~; DATE 07-19-2010
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~~`'' ` `'``"~~ `-'~ ''~'' ~ ~ ~ ` '-- ~' ESTATE OF FOOSE I I I BENJAMIN F
DATE OF DEATH 03-22-2005
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,~`__'-;~, _,- FILE NUMBER 21 05-0385
~'~~'~ -,.-,~_, ~~ COUNTY CUMBERLAND
BENJAMU~ 'J ?FDO~°E- ,~ ." ACN 101
501 FRONT ST APPEAL DATE: 09-17-2010
MARYSV I L L E PA 17 053 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE S9UARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
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REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: FOOSE III BENJAMIN FFILE N0.:21 05-0385 ACN: 101
-----------------
OR
DATE: 07-19-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) •0 0 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2)
.0 0
credit to your account,
0 0 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) . of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) •0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 4,6 0 4.36
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) C7) 4,294.65
8. Total Assets C8) 8 , 899 . O 1
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 8.0 7 5.0 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .0 0
11. Total Deductions (11) 8, 075.00
12. Net Value of Tax Return (12) 824.01
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax C14) 824.01
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) .0 0 X 0 0 = .0 0
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 824 _ O1 X 045 = 37.08
17. Amount of Line 14 at Sibling rate C17) .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 C19)= 37.08
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
INTEREST IS CHARGED THROUGH 08-03-2010
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 37.08
INTEREST AND PEN. 10.95
TOTAL DUE 48.03
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.