HomeMy WebLinkAbout08-20-10~ fir.
-~ ~~- tt~==.•irOTICE OF INHERITANCE TAX pennsylvan~a ~
-~ • -~-~ ~1~PaR~t1`B~EMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXf3•. _-~
INHERITANCE TAX DIVISION , ~,,. _ .._, ~ '~" Q~ ;..~jEDUCTI ONS AND ASSESSMENT OF TAX REV-1547 EX AFP (12-09)
PO BOX 28Db01
HARRISBURG PA 17128-0601
:_:~~` ~.~~ L~ ~1 ~• ~~. DATE 08-16-2010
ESTATE OF SHILEY MARY E.
~~E~' , ~~;'=' DATE OF DEATH 02 - 02 - 2010
n~fi, ~ `,` `', '~'_+"~,'-;~r F I LE NUMBER 21 10 - 0354
(' ~° ~` ~! ;,_ ~_ "`~ ~r COUNTY CUMBERLAND
FRANK D GRO~IINGER ~ ACN 101
1935 OYSTER MILL RD APPEAL DATE: 10-15-2010
CAMP H I L L P A 17 011 - 10 0 2 (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 _ -'-~ --RETA_IN LOWER POR_TION_ FOR YOUR RECORDS ~--- _ ____
REV-1547 EX AFP (12-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SHILEY MARY EFILE N0.:21 10-0354 ACN: 101 DATE: _ ______ _
- -
08-16-2010
TAX RETURN WAS: tX) ACCEPTED AS FILED t ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .0 0 NOTE: T o ensure proper
(2) 5,0 5$.6 9 credit to your account,
2. Stocks and Bonds (Schedule B) submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) t3) .0 0
of this form with your
4. Mortgages/Notes Receivable tSchedule D) (4) .0 0 tax pay ment.
5. Cash/Bank DepositslMisc. Personal Property (Schedule E) t5) .0 0
6. Jointly Owned Property (Schedule F) (6) 28, 137.59
7. Transfers (Schedule G) (7) .0 0
ts) 33, 196 .28
8. Total Assets _
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) t9) 3,6 2 3.0 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .0 0
tll) 3,623.00
11. Total Deductions _ 573.28
29
12 . Net Value of Tax Return t12) - ,
0 0
13. CharitablelGovernmental Bequests; Non-elected 9113 Trusts tSchedule J) (13) _ .
14. Net Value of Estate Subject to Tax t14) _ 29,573.28
NOTE: If an assessment was issued previously, lines 14, 15 andlor 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 (15) .0 0 X 0 0 = .0 0
16. Amount of Line 14 taxable at Lineal/Class A rate t 16) 9 , S73 _ ?8 x 045 = 1 , 330 .80
17. Amount of Line 14 at Sibling rate (17) . DO X 12 = . 00
18. Amount of Line 14 taxable at Collateral/Class B rate t18) ,0 0 X 15 = .0 0
19. Principal Tax Due t19)= 1 , 330 .80
TAY f DGTITTC
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT t+)
INTEREST/PEN PAID t-) AMOUNT PAID
04-02-2010 CD012564 66.54 1,264.25
08-09-2010 SBADJUST .00 .O1
TOTAL TAX PAYMENT 1,330.80
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" tCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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