HomeMy WebLinkAbout08-20-10. _,.NQ.TICE OF INHERITANCE TAX
~~~ ~ -AP'PRAi~5E1~NT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION ; _ ~ -;~~ 0`F ~•~'EbUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601
HARRISBURG PA 17128-0601
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SUSAN J HARTMAN
1 IRVINE ROW
CARLISLE PA 17013
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C2) .00
c3) .00
C4) .00
c5) 8, 768.21
C6) 18, 059. O1
C7) .00
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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: HOOVER MIRIAM LFILE N0.:21 10-0279 ACN: 101 DATE: 08-1b-2010
TAX RETURN WAS: C~() ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held StocklPartnership 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)
pennsylvania~ ~ ~~
DEPARTMENT OF REVENUE
REV-].547 EX AFP (12-04)
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
ts) 26 , 827 .22
C9) 1 , 611 . 5D
clo) 8,295.27
9,906.77
11. Total Deductions C11) _ 920.45
1 b
12 . Net Value of Tax Return C 12) _ ,
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) _ .0 0
14. Net Value of Estate Subject to Tax C14) _ 16, 920.45
NOTE: If an assessment was issued previously, lines 14, 15 andtor 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 C16) 16.920.45 X 045 761.42
17. Amount of Line 14 at Sibling rate t17) .0 ~ X 12 .0 0
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 = .0 0
C19)= 42
761
19. Principal Tax Due .
TAY f DCi1TTC
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
06-04-2010 CD012849 38.07 723.35
DATE 08-16-2010
ESTATE OF HOOVER MIRIAM L
DATE OF DEATH 03-08-2010
FILE NUMBER 21 10-0279
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 10-15-2010
(See reverse side under Objections
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TOTAL TAX PAYMENT 761.42
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.