HomeMy WebLinkAbout08-06-10 (2)BUREAU OF INDIVIDUAL""TAXES
INHERITANCE TAX DIVISION.--
PO BOX 280601
HARRISBURG PA 17128-0601
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~- (~;:~ NOTICE OF INHERITANCE TAX
A,PPRAISEMENT, ALLOWANCE OR DISALLOWANCE
`'OF DEDUCTIONS AND ASSESSMENT OF TAX
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JACOB A SUTA
41 SHADY RD
NEWBURG PA 17240
cl) .00
c2) .00
c3) .00
c4) .00
c5) 36b . 56
c6) 7, 733.07
c7) .00
CUT ALONG THIS LINE _ --~ R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS E- _ _____ _________
REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR -
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SUTA STELLA FILE N0.:21 09-0942 ACN: 101 DATE: D8-02-2010
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) 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)
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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.
c8) _ 8,099.63
c9) 2, 650 .87
clo) .00
11. Total Deductions C11) _ 2,650.87
12. Net Value of Tax Return (12) _ 5,448.67
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) _ .0 0
14 Net Value of Estate Subject to Tax (14) 5,448.67
.
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) .00 X 00 _ .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 5 , 448 _ b7 x 045 - 245.19
17. Amount of Line 14 at Sibling rate C17) .00 X 12 '° .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .0 0 X 15 ~ .0 0
19. Principal Tax Due (19)' 245.19
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
10-05-2009 CD011837 12.26 696.82
10-06-2009 CD011840 .00 182.65
DATE 08-02-2010
ESTATE OF SUTA STELLA
DATE OF DEATH 07-16-2009
FILE NUMBER 21 09-0942
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 10-01-2010
(See reverse side under Objections
Amount Remitted -1
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TOTAL TAX PAYMENT 891.73
BALANCE OF TAX DUE 646.54CR
INTEREST AND PEN. .00
TOTAL DUE 646.54CR
* 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. (~
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