HomeMy WebLinkAbout08-13-10NOTICE DF INHERITANCE TAX pennsylvan~a ~~
BUREAU OF INDIVIDUAL TAXES APP,RA-ISEMENT,,. A,LLQ.WANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
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INHERITANCE TAX DIVISION OF DE~U~fiION'S`--A~ ASSESSMENT OF TAX REV ••1547 EX AFP (12-09)
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PO BOX 280601 ~ ~~
HARRISBURG PA 17128-0601 `~ `-"
DATE 08-09-2010
~~~~ ~~~~' ! ~ ~~~ ~~' cJ~ ESTATE OF PROVOST SHIRLEY L
DATE OF DEATH 03-04-2010
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.~,~~;-~,^~ s ; FILE NUMBER 21 10-0275
~;(~- 1r ;' ;' -~, ! ~_j ~T COUNTY CUMBERLAND
ROGER B IRWIN ESQ ^('~'' _ ••. '~~ ACN 101
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60 W POMFRET ST APPEAL DATE: 10-08-2010
C A R L I S L E P A 17 013 (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 --~ RETAIN LOWER PORTION FOR YOUR RECORDS f-
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REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: PROVOST SHIRLEY LFILE N0.:21 10-0275 ACN: 101 DATE: 08-09-2010
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 92, 000.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) ,0 Q credit to your account,
.Q ~ submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 3,9 8 8.9 9
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) (7) .0 0
8. Total Assets cs) _ 95,988.99
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 15.3 0 9.38
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 48,645.43
11. Total Deductions C11) 63,954.81
12. Net Value of Tax Return C12) 32, 034.18
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax C14) _ 32, 034.18
NOTE: If an assessment was issued previously,
reflect figures that include the total
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
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns assessed to date.
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
C15) • 00 x
C16) 3 . n34 . 1 8 X
c17) .00 x
C18) . 00 x
00 =• .00
045 =' 1 , 441.54
12 =• . 00
15 = .00
c19)=' 1,441.54
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
05-28-2010 CD012814 72.08 1,369.46
TOTAL TAX PAYMENT 1,441.54
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 MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM IFOR INSTRUCTIONS...~.~~\
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