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HomeMy WebLinkAbout10-01-10NOTI~~ OF INHERITANCE TAX ~`'~~`1~"i~pl~d#s~i,~N~` ALLOWANCE OR DISALLOWANCE BUREAU OF INDIVIDUAL TAXES ~" ,~~~- INHERITANCE TAX DIVISION ~ 0~ ,DEL~UC'TYONS AND ASSESSMENT OF TAX PO BOX 280601 ~ ,~...,~'~„ . ~_ ~ ~ • ` ' HARRISBURG PA 17128-0601 k~ C~~T - ! P~31~~ 4 3 ~: F l.,~LE~'~'~ '. T ORPH~~~'~`S ~'~~..~R~ R MARK THOMAS ESQ~~,~s' ~~~[ F _~ . ~ - "•~~ 101 S MARKET ST MECHANICSBURG PA 17055 pennsylvan~a , ~r DEPARTMENT OF REVENUE i` REV-1547 EX AFP C12-09) DATE 09-27-2010 ESTATE OF STAMBAUGH DOROTHY L DATE OF DEATH 07-15-2009 FILE NUMBER 21 09-0831 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 SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE --! RETAIN LOWER PORTION FOR YOUR RECORDS --------------------------------------------------- E'-~ -- REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APP --------------------- RAISEMENT, ALLOWANCE ------ OR ----------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF: STAMBAUGH DOROTHY LFILE N0.:21 09-0831 ACN: 101 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) C1) •~ ~ NOTE• T o ensure proper 2. Stocks and Bonds (Schedule B) (2) .0 0 credit to your account, 3. Closely Held Stock/Partnership Interest (Schedule C) t3) .0 0 submit the upper portion of this form with your 4. Mortgages/Notes Receivable (Schedule D) C4) •0 0 tax pay ment. 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 6,6 51.8 7 6. Jointly Owned Property (Schedule F) (6) 2 36.74 7. Transfers (Schedule G) (7) .0 0 8. Total Assets (8) 6 , 888.61 APPROV ED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Cq) 1,58 7.34 10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .0 0 11. Total Deductions (11) 1,587.34 12. Net Value of Tax Return (12) 5, 301.27 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) 2 6 5.0 6 14. Net Value of Estate Subject to Tax (14) 5, 036.21 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 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 Tax Due TAX CREDITS: c15) .00 x 00 = .00 c16) 5.036. 7 x 045 = 226.63 c17) . oo x 12 = . 00 cls) .00 x 15 = .00 c19)= 226.63 PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID C-) AMOUNT PAID 07-29-2010 CD013113 .00 226.63 09-20-2010 SBADJUST .00 2,62 TOTAL TAX PAYMENT 226.63 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.