HomeMy WebLinkAbout10-22-10 (2)NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAxES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601
HARRISBURG PA 17128-0601
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EDMUND G MYERS _: -;
301 MARKET ST
PO BOX 109
LEMOYNE PA 17043
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DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-09)
DATE 10-19-2010
ESTATE OF KOST MURIEL S
DATE OF DEATH 05-14-2010
FILE NUMBER 21 10-0584
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
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: KOST MURIEL SFILE N0.:21 10-0584 ACN: 101 _______________
OR
DATE: 10-19-2010
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RET URN
1 . Real Estate (Schedule A) (1) 185, 725.00 NOTE: To ensure proper
(2) .0 0 credit to your account,
2. Stocks and Bonds (Schedule B) submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .0 0 of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 1,50 0.0 0
6. Jointly Owned Property (Schedule F) (6) 5, 6$2.35
(7) 38,865.19
7. Transfers (Schedule G)
(8) 231 , 772.54
8. Total Assets
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 5.5 7 8.5 3
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 4 8.0 0
(11) 5, 626.53
11. Total Deductions 226, 146. O1
12. Net Value of Tax Return (12) 0 0
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .
T (14) 226, 146. O1
14. ax
Net Value of Estate Subject to
NOTE: If an assessment was issued Rreviously, 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:
0 0 =
0 0
0 0
15. Amount of Line 14 at Spousal rate (15) .
X .
16. Amount of Line 14 taxable at Lineal/Class A rate (16) x 045 = 10, 176.57
17. Amount of Line 14 at Sibling rate (17) .00 X 12 - .00
18. Amount of Line 14 taxable at Collateral/Class B rate t18) .0 0 X 15 = .0 0
(19?= 10, 176 .57
19. Principal Tax Due
TAY f DCTITTC.
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
08-13-2010 CD013212 508.83 9,667.74
TOTAL TAX PAYMENT 10,176.57
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.