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HomeMy WebLinkAbout09-10-10r ;.. ,~__( ~ _1.,4,.ND~LCE OF INHERITANCE TAX BUREAU OF INDIVIDUAL TAXES AP~FfAI~~fi~l~WT, ALLOWANCE OR DISALLOWANCE INHERITANCE TAX DIVISION :,`~ ~ ~ ~,n'~, -~~bL, TIONS AND ASSESSMENT OF TAX PO BOX 280601 HARRISBURG PA 17128-0601 2~ ~ ~ SAP ~ 0 A~ t ~ ~ 4 ~ ~~~ ~~ ~R~H'S ~GU~T LISA MAR I E COY~'~~'O' 'E..l~~'v© G~ , PA, 3901 MARKET ST CAMP HILL PA 17011 C1) .00 c2) .00 C3) .00 C4) .00 c5) 50 , 252.76 C6) .00 c7) .00 CUT ALONG THIS LINE _ --) --RETAIN LOWER POR_TION_ FOR YOUR RECORDS F- _ _______________ REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF: MACIEJEWSKI IRENE HFILE N0.:21 10-0382 ACN: 101 DATE: 09-06-2010 TAX RETURN WAS: C X) 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 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) pennsylaania , ~ 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. ~$) 50 , 252.76 (9) 35 , 279.73 Clo) 165,456.98 (11) 200,736.71 11. Total Deductions 150,483.95- 12. Net Value of Tax Return C12) 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0 Tax t t S bj t C14) 150,483.95- 14. o u ec e Net Value of Esta 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 (15) .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 C17) _0 d 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 (14) .D 0 TAY CRFTITTC PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID DATE 09-06-2010 ESTATE OF MACIEJEWSKI IRENE H DATE OF DEATH 03-02-2010 FILE NUMBER 21 10-0382 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 .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. ~~ 1 ~i