HomeMy WebLinkAbout10-01-10NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAMS ~r~~ ,ElP~.,R~LSEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION -~ '.''- Q -- ~DUCTIONS AND ASSESSMENT OF TAX
PO BOX 280691 ~ - ~ ~ ~!~ '~
HARRISBURG PA 17128-06Q1 {-~- .j ;, ;: ,,c ~ ,-.. -
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JOHN R COX ''~,' ' ~ `~ ~""~`~ 1
317 3RD ST ~"~` -
NEW CUMBERLAND PA 17070-2267
Pennsylvania . ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-09)
DATE 09-27-2010
ESTATE OF REICHERT THELMA I
DATE OF DEATH 01-05-2010
FILE NUMBER 21 10-0078
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 11-26-2010
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
CUT-ALONG-THIS-LINE- - -~' -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: REICHERT THELMA IFILE N0.:21 10-0078 ACN: 101 -----------------
OR
DATE: 09-27-2010
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) •0 0 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) ,O 0 credit to your account,
0 0 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) . of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) •0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 10,930.00
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) (7) .0 0
8. Total Assets (8) 10 , 930.00
APPROV ED DEDUCTIONS AND EXEMPTIONS:
4. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 10,14 5.0 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .0 0
11. Total Deductions (11) 10, 145.00
12. Net Value of Tax Return (12) 785.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax C14) 785.00
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 C16) 785 _ 00 x 045 = 35.00
17. Amount of Line 14 at Sibling rate (17) _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 (19)= 35.00
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
07-22-2010 CD013091 .00 35.00
TOTAL TAX PAYMENT 35.00
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" tCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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