HomeMy WebLinkAbout10-22-10- NOTICE OF INHERITANCE TAX pennsylvan~a ~
'-AP~PRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ,-•
INHERITANCE TAX DIVISION _, OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP C12-09)
PO BOX 280601
HARRISBURG PA 17128-0601
_.. 'F- Y
~...-.
RICHRD ~,=MA~~ETT _JR
2201 N 2ND ST
HBG PA 17110
DATE 10-19-2010
ESTATE OF GEBHART PATRICIA A
DATE OF DEATH 11-10-2008
FILE NUMBER 21 08-1157
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 12-18-2010
(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- ~-- ___________________
REV-1547 EX AFP C12-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE DR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: GEBHART PATRICIA AFILE N0.:21 08-1157 ACN: 101 DATE: 10-19-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage LiabilitieslLiens (Schedule I)
c1) .00
C2) .00
~~) .00
c4) .00
C5) 15, 371.34
C6) .00
c7) .00
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
Cs) 15, 371 .34
c9) 5 , 773.79
Clu) 4,406.01
C11) 10, 179.80
11. Total Deductions 5, 191 .54
12. Net Value of Tax Return t12) 0 0
13. CharitablelGovernmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .
T C14) 5, 191 .54
14. ax
Net Value of Estate Subject to
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) 2,595.77 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 2 , 595.77 x 045 = 116 .81
17. Amount of Line 14 at Sibling rate C17) _0 ~ X 12 .0 0
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 = .0 0
C19)= 116.81
19. Principal Tax Due
TAY f DCTITTC
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
08-18-2010 CD013219 5.24- 122.07
TOTAL TAX PAYMENT 116.83
BALANCE OF TAX DUE .02CR
INTEREST AND PEN. .00
TOTAL DUE .02CR
* 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.