HomeMy WebLinkAbout09-10-10__ _ _ NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~ A~`RI~~~•~~M~,~I~T, ALLOWANCE oR DISALLOWANCE
INHERITANCE TAX DIVISION ~ ~.-' ~0~~:, ~.E~DUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 `~~ ~' ` `"~~ .~'t ° ' `'•''
HARRISBURG PA 17128-0601
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QRPN~tN'S CQURT
MARK A MATEYA ~~~~~~~-~~~~~~ ~~~•• DA
55 W CHURCH AVE
CARLISLE PA 17013
~1) 145, 000.00
C2) .00
(3) .00
c4) .00
C5) 4, 435.62
C6) .00
c7) .00
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: MOYER CHARLES DFILE N0.:21 09-0990 ACN: 101 DATE: 09-Ob-2010
TAX RETURN WAS: CX) 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)
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-09) ~
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
c8) 149,435.62
c9) 19 , 927.44
(lo) 71 , 977.43
C11) 91,904.87
11. Total Deductions 530.75
57
12. Net Value of Tax Return C12) ,
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
ct to Tax
S
t
t
bj
E C14) 57,53.0.75
14. e
u
a
e
s
Net Value of
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) .0 0 X 0 0 = .0 0
16. Amount of Line 14 taxable at Lineal/Class A rate t16) 57.530 _ 75 x 045 = 2, 588 .88
17. Amount of Line 14 at Sibling rate C17) _0 0 X 12 = .0 0
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .0 0 X 15 = .0 0
19. Principal Tax Due C19) 2, 588 • 88
TAY f DCTITTC
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
06-17-2010 CD012927 .00 2,588.88
DATE 09-Ob-2010
ESTATE OF MOYER CHARLES D
DATE OF DEATH 09-18-2009
FILE NUMBER 21 09-0990
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 11-05-2010
(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 2,588.88
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. ~ „