HomeMy WebLinkAbout10-01-10NOTICE OF INHERITANCE TAX pennsylvan~a ~
r.-~flP•f~A-i-~f#!t~t~f~', i'1~LLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES h ,-_ -~ , - ,• •
INHERITANCE TAX DIVISION O~: ~EflUG~.~O`~S AND ASSESSMENT OF TAX REV-1547 EX AFP (12-09)
PO BOX 280601 y; ; ~-yi'{ ,,J; ~ _ ..
HARRISBURG PA 17128-0601 f
,~~~~ ~~.~ _ 1 ~~ ~~~ ~~ DATE 09-27-2010
ESTATE OF GALLINA JEANETTE M
DATE OF DEATH 04-30-2010
C~CR`..( ~~
~~.~ ~; FILE NUMBER 21 10-0655
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~r,r N.~~~ ~ .~ U~~F COUNTY CUMBERLAND
JENNIFER B HIPP 1st ~'>`
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~ ~ •~~• 101
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1 W MAIN ST
APPEAL DATE: 11-26-2010
SH I REMANSTOWN PA 17011 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT-AL ONG-THIS-LINE- --- -~--) --RETAIN-LOWER-PORTION-FOR-YOUR-RECORDS- ~-~- -------
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REV-15 47 EX AFP t12-09~ NOTICE OF INHERITANCE -
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TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: GALLINA JEANETTE MFILE N0 .:21 10-0655 ACN: 101 DATE: 09-27-2010
TAX RETURN WAS: tX) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) •~ ~ NOTE: To ensure proper
2. Stocks and Bonds (Schedule B)
.0 0 credit to your account,
C2)
0 0 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule .
C) C3) of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) •~ ~ tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Sche dule E) (5) 184, 026.83
b. Jointly Owned Property (Schedule F) (6) 52,822.17
7. Transfers (Schedule G) (7) 341.78
8. Total Assets c8) 237, 191.38
APPROV ED DEDUCTIONS AND EXEMPTIONS:
4. Funeral Expenses/Adm. Costs/Misc. Expenses (Sche dule H) ~9) .0 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .0 0
11. Total Deductions (11) .0 0
12. Net Value of Tax Return C12) 237, 191.38
13. Charitable/Governmental Bequests; Non-elected 91 13 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax (14) 237, 191.38
NOTE: If an assessment was issuedpreviously, 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
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal lax Due
TAX CREDITS:
c15) 184,368.b1 x 00 = .00
c16) 5~ . 82?_ _ 77 x 045 = 2, 377.02
c17) .00 x 12 = .00
c18) .00 X 15 = .00
c19)= 2, 377.02
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
07-27-2010 CD013103 118.85 2,258.17
TOTAL TAX PAYMENT 2,377.02
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.