HomeMy WebLinkAbout10-15-10NOTICE OF INHERITANCE TAX p~nnsylvania ~ ~
~,-~,~ ;~~kPtP,RA3s~l'~NT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES --- i
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INHERITANCE TAX DIVISION bF ~ 'Dti~TION$ AND ASSESSMENT OF TAX REV-1547 EX AFP C12-09)
PO BOX 280601
HARRISBURG PA 17128-0601 - ""
DATE 10-11-2010
'~~~ ~ `~ ~~~' ` ~ '~ ~~ ~ • ~.I O ESTATE OF NIESLEY ELSIE M
DATE OF DEATH 11-21-2009
_ 1~~,~':', +~~'~-" FILE NUMBER 21 10 - 0156
L'C~r' ~~' .. `_,~._~~"` ~~ COUNTY CUMBERLAND
SCOTT M DINNEi~! ~tiSQ- _ ~; ACN 101
3117 CHESTNUT ST APPEAL DATE: 12-10-2010
CAMP H I L L P A 17 011 (See reverse side under 08jections )
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 APPRAISEMENT, ALLOWANCE
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: NIESLEY ELSIE MFILE N0.:21 10-0156 ACN: 101
OR
DATE: 10-11-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) •0 0 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) ~2) .0 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. MortgageslNotes Receivable (Schedule D) C4) •0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 36 0.0 0
6. Jointly Owned Property (Schedule F) (6) 12, 384.41
7. Transfers (Schedule G) C7) 30,836.11
8. Total Assets cs) 43,580.52
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) ~9) 4,0 2 5.0 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .0 0
11. Total Deductions C11) 4, 025.00
12. Net Value of Tax Return C12) 39,555.52
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Met Value of Estate Subject to Tax C14) 39,555.52
NOTE: If an assessment was issued previously, lines 14, 15 andlor 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) 9 . ~5~- _ 5 x 045 = 1 , 780.00
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 C19 )= 1 , 780.00
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
02-17-2010 CD012362 89.00 1,700.00
10-04-2010 REFUND .00 9.00-
TOTAL TAX PAYMENT 1,780.00
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" (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.