HomeMy WebLinkAbout08-13-10NOTICE OF INHERITANCE TAX Pennsylvania ~ •~
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF -~F3E,I~,W-G~-LQ~S-/~~ID„pSSESSMENT OF TAX REV ••1547 EX AFP C12-09)
PO BOX 280601 .. - " , ~`~_~
HARRISBURG PA 17128-06D1 -
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DATE 08-09-2010
~,~ ~ ~ , ~~, ~ ~ , « ,.STATE OF WI RTH DOROTHY A
~`~~'~" ~~'"'' ' ~ ~~~~ ~ ~' ~~ATE OF DEATH 08-2b-2009
FILE NUMBER 21 10-054b
~~-I `~~'~ '~• COUNTY CUMBERLAND
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DAVID L DINGER (~~~ - ' i !=;?' ACN 101
5505 BARBARA DR ^~ '! ~ -' ~ ,,{ APPEAL DATE : 10 - 08 - 2010
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M E C H A N I C S B U R G P A 17 0 5 0 '' (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 E~
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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: WIRTH DOROTHY AFILE N0.:21 10-0546 ACN: 101 DATE: 08-09-2010
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) (2) 3,413.7 5 credit to your account,
.0 0 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) 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) 2,b 0 5.0 0
6. Jointly Owned Property (Schedule F) C6) .0 0
7. Transfers (Schedule G) (7) .0 0
8. Total Assets (8) _ 6 018.75
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9? 6,6 4 8.3 3
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .0 0
11. Total Deductions C11) _ b, b48 . 33
12. Net Value of Tax Return (12) _ b29.58-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) _ .0 0
14 Net Value of Estate Subject to Tax C14) 629.58-
. _
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 a nd 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) _0 0 x 0 4 5 _ .0 0
17. Amount of Line 14 at Sibling rate (17) .0 0 X 12 ~ .0 0
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 _ .0 0
19. Principal Tax Due C19)_ .0 0
TAX 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" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~
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