HomeMy WebLinkAbout10-08-10 (2)BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRA_ISEMENT_,,.ALLOWANCE OR DISALLOWANCE
OF .~;EDUCTI'ONS `~9l`ND ASSESSMENT OF TAX
4 : ^,
RICHARD E CONNELL ESQ ~~ ~, .~ `~` ~,,r,
2303 MARKET ST ~"'-'~'
CAMP HILL PA 17011
tl) 122, 122.75
c2) 8,204.29
t3) .00
t4) .00
t5) 8 , 232.27
t6) .00
t7) 8, 358.36
CUT ALONG THIS LINE --~ RETAIN LOWER PORTION FOR YOUR RECORDS F--
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REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: DOUDEN ORPHA MFILE N0.:21 09-1121 ACN: 101 DATE: 10-04-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED t ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds tSchedule B)
3. Closely Held Stock/Partnership Interest tSchedule C)
4. Mortgages/Notes Receivable tSchedule D)
5. Cash/Bank Deposits/Misc. Personal Property tSchedule E)
b. Jointly Owned Property (Schedule F)
7. Transfers tSchedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-09) r
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
t8) 146 917.67
tq) 6 , 449.99
clo) 1 , 939.02
11. Total Deductions C11) 8,389.01
12. Net Value of Tax Return t12) 138,528.66
13. Charitable/Governmental Bequests; Non-elected 4113 Trusts (Schedule J) t13) .0 0
14 Net Value of Estate Sub3ect to Tax t14) 138,528.66
.
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 t16) ] 38 , S28 . 66 x 045 = 6, 233.79
17. Amount of Line 14 at Sibling rate t17) .0 0 X 12 = .0 0
18. Amount of Line 14 taxable at Collateral/Class B rate C18) ,0 0 X 15 = .0 0
14. Principal Tax Due t19)= 6,233.79
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT t+)
INTEREST/PEN PAID t-)
AMOUNT PAID
01-29-2010 CD012294 292.50 5,557.50
07-29-2010 CD013114 .00 383.79
TOTAL TAX PAYMENT 6,233.79
BALANCE OF TAX DUE .00
INTEREST AND PEN. .0.0
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.
DATE 10-04-2010
ESTATE OF DOUDEN ORPHA M
DATE OF DEATH 10-29-2009
FILE NUMBER 21 09-1121
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 12-03-2010
(See reverse side under Objections
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013