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HomeMy WebLinkAbout10-22-10BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 NOTICE OF INHERITANCE TAX APPRA7SEMEh~T, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX +- r. -- ~~:.. ~~ i• ~:'-f -.,, ; ~ , ,, ( ;_ ; , , _. ~_. ;_:, ,~ , ROBERT M NEWBURI! ~•~XEDUTOR 4518 HILLSIDE COURT HARRISBURG PA 17110 pennsyLvania ~ DEPARTMENT OF REVENUE REV-1547 EX AFP C12-09) r DATE 10-19-2010 ESTATE OF NEWBURY VERNA G DATE OF DEATH 05-31-2010 FILE NUMBER 21 10-0636 COUNTY CUMBERLAND ACN 101 APPEAL DATE: 12-18-2010 (See reverse side under Objections ) Amount Remitted~i MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG-THIS-LINE- --- -~ -R_ETA_IN LOWER POR_TION_ 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: NEWBURY VERNA GFILE N0.:21 10-0636 ACN: 101 _______________ OR DATE: 10-19-2010 TAX RETURN WAS: CX) ACCEPTED AS FILED t ) CHANGED APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) .0 0 NOTE: To ensure proper 2. Stocks and Bonds (Schedule B) t2) ,0 0 credit to your account, 3. Closely Held Stock/Partnership Interest (Schedule C) C3) .0 0 submit the upper portion of this form with your 4. Mortgages/Notes Receivable (Schedule D) t4) •0 0 tax payment. 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) t5) b8,043.10 6. Jointly Owned Property (Schedule F) (6) .0 0 7. Transfers (Schedule G) C7) .0 0 8. Total Assets t8) 68, 043.10 APPROV ED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) t9) 7.8 04.8 b 10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .0 0 11. Total Deductions tll) 7,804.86 12. Net Value of Tax Return C12) 60,238.24 13. Charitable/Governmental Bequests; Non-elected 9113 Tr usts (Schedule J) t13) .0 0 14. Net Value of Estate Subject to Tax (14) 60,238.24 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) 6(l . ?~8. 4 x 045 = 2, 710 .72 17. Amount of Line 14 at Sibling rate C17) _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)= 2, 710.72 TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID 08-19-2010 CD013232 135.54 2,575.18 TOTAL TAX PAYMENT 2,710.72 BALANCE OF TAX DUE .00 INTEREST AND PEN. .OD TOTAL DUE .00 * IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" tCR), YOU MAY BE DUE FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. `~~