HomeMy WebLinkAbout10-15-10BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
SUSAN H CONFAIR
2331 MARKET ST
CAMP HILL
.a ,NOTICE OF INHERITANCE TAX
APPR'AI'~E'ME'1~'T'~ "~-EL~Z~IANCE OR DISALLOWANCE
OF 'DEDUCTIONS :~-ND ASSESSMENT OF TAX
Pennsylvania ~
DEPARTMENT OF REVENUE
,.
REV'-1547 EX AFP C12-09)
t~~'i'~~'~,~ ~ j ~'~~ !; ~~ ~~ DATE 10-11-2010
ESTATE OF LOVE ANTON C
fl~ ~ -~;,, ,~.~ DATE OF DEATH 11-14-2009
~! ~_
n ~, ,~ ~-, ,~F~ FILE NUMBER 21 09-1107
(~`I ~ ,a- - ~ _, ,, COUNTY CUMBERLAND
,,
`~ ~ ~ ACN 101
APPEAL DATE: 12-L0-2010
P A 17 011 (See reverse side under Ob~iections
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE S9UARE
CARLISLE PA 17013
CUT-ALONG-THIS-LINE----- --~ --RETAIN-LOWER PORTION_ FOR-YOUR-RECORDS- E- -------------------
REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: LOVE ANTON (FILE N0.:21 09-1107 ACN: 101 DATE: 10-11-2010
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 175, 900.00
2. Stocks and Bonds (Schedule B) (2) 60,923.42
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .0 0
4. Mortgages/Notes Receivable (Schedule D) (4) .0 0
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 255,437.73
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) (7) .0 0
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
8. Total Assets (8) 492,261.15
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 16,2 5 9.81
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 8,5 28.7 0
11. Total Deductions (11) 24,788.51
12. Net Value of Tax Return (12) 467,472.64
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) 2,0 0 0.0 0
14. Net Value of Estate Subject to Tax C14) 465,472.64
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 (15) .00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) _ 00 X 0451 = . 00
17. Amount of Line 14 at Sibling rate (17) _ 00 X 12 = . 00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) 465,472.64 X 15 = 69,820.90
19. Principal Tax Due (19)= 69,820.90
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
02-02-2010 CD012316 3,491.05 72,000.00
TOTAL TAX PAYMENT 75,491.05
BALANCE OF TAX DUE 5,670.15CR
INTEREST AND PEN. .00
TOTAL DUE 5,670.15CR
* 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.
~`