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HomeMy WebLinkAbout09-17-10NOTICE OF INHERITANCE TAX BUREAU of INDIVIDUAL ~~~~ ?'~j , ~~~ ~ ~SEMENT, ALLOWANCE OR DISALLOWANCE INHERITANCE TAX DIV1S1oN _ _ "~~F~, DEDUCTIONS AND ASSESSMENT OF TAX PO BOX 280601 i~ ~ /; ~` i ~ ', ,. ,~, HARRISBURG PA 17128-0601 zo~osE~ i~ a~~s: ~ CLERK Cfi ORPNAN'~ (CURT CHARLES E (~,E~~;~:,'`~z~,~~;1., PA.. 6 CLOUSER RD MECHANICSBURG PA 17055-9735 Pennsylvania 4 ~ ~ ~~ DEPARTMENT OF REVENUE REV-1547 EX AFP (12-09) DATE 09-14-2010 ESTATE OF BEITZEL DELLA E DATE OF DEATH 10-02-2009 FILE NUMBER 21 09-1017 COUNTY CUMBERLAND ACN 101 APPEAL DATE: 11-13-2010 (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 ~- ------------ REV-1547 EX AFP C12-09) NOTICE OF INHERITANCE TAX APPR AISEM --- ENT, ALLOWANCE ----------------- OR DISALLOWANCE OF DEDUCTIONS AND ASSES SMENT OF TAX ESTATE OF: BEITZEL DELLA EFILE N0.:21 09-1017 ACN: 101 DATE: 09-14-2010 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) 150,000.00 NOTE: To ensure proper 2. Stocks and Bonds (Schedule B) (2) .00 credit to your account, 00 submit the upper portion 3. Closely Held Stock/Partnership Interest (Schedule C) (3) . of this form with your 4. Mortgages/Notes Receivable (Schedule D) C4) •00 tax payment. 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 8 3,79 3.8 7 6. Jointly Owned Property (Schedule F) (6) .00 7. Transfers (Schedule G) (7) 379, 048.02 8. Total Assets (8) 612.841.89 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 44.98 2.21 10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 8,734.05 11. Total Deductions (11) 53,716.26 12. Net Value of Tax Return (12) 559, 125.63 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) 5.000.00 14. Net Value of Estate Subject to Tax C14) 554, 125.63 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) .00 X 0 0 = .00 16. Amount of Line 14 taxable at Lineal/Class A rate C16) ~i~i4 . 1 2~ _ 6~ x 045 = 24, 935.65 17. Amount of Line 14 at Sibling rate (17) -00 X 12 = .00 18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 - .00 19. Principal Tax Due (19)= 24,935.65 TAX CREDITS: PAYMENT RECEIPT DISCOUNT C+} AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 12-29-2009 CD012173 500.00 9,500.00 07-02-2010 CD013021 .00 14,935.65 TOTAL TAX PAYMENT 24,935.65 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" (CR), YOU MAY BE DUE FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.