HomeMy WebLinkAbout09-17-10NOTICE OF INHERITANCE TAX
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INHERITANCE TAX DIVISION ~
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ROBERT R BLAC~JAI{R~~?L,",".,I"'% ;~(~ • ~~
36 SOUTH HANOVER ST
CARLISLE PA 17013
Pennsylvania' r
DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-09)
DATE 09-14-2010
ESTATE OF BLOSER MARTHA N
DATE OF DEATH 02-11-2010
FILE NUMBER 21 10-0274
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 -1 RETAIN LOWER PORTION FOR YOUR RECORDS ~-
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REV-1547 EX AFP C12-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: BLOSER MARTHA NFILE N0.:21 10-0274 ACN: 101 --------------
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OR
DATE: 09-14-2010
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) •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) C3) . of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) •0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 10,376.9 6
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) 70,415.37
8. Total Assets C8) 80.792.33
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 8,08 2.6 6
10. Debts/Mortgage Liabilities/Liens (Schedule I) C 10) .00
11. Total Deductions C11) 8, 082.66
12. Net Value of Tax Return (12) 72,709.67
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax (14) 72,709.67
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 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 77.709 - 67 x 045 = 3, 271.94
17. Amount of Line 14 at Sibling rate (17) -00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B ra te (18) .00 X 15 - .00
19. Principal Tax Due C19)= 3,271.94
TAX CREDITS:
PAYMENT ( RECEIPT I DISCOUNT (+) I AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
05-06-2010 CD012714 110.53 2,100.00
PAYMENT MUST BE MADE BY 11-11-2010*.
TOTAL TAX PAYMENT 2,210.53
BALANCE OF TAX DUE 1,061.41
INTEREST AND PEN. .00
TOTAL DUE 1,061.41
* 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.
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