HomeMy WebLinkAbout11-08-10`~~~A~P~t!!-'I~SLM~~~tLOWANCE TOR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES ~y,~
INHERITANCE TAX DIVISION rt'.~ ~TF ~~FiDjUC`. !',~I~S AND ASSESSMENT OF TAX
PO BOX 280601
HARRISBURG PA 17128-0601
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CLERK CF
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DANIEL D WORLEY CUf~'~E~~''._ 1,~,!rl ~(?j' ~~`
101 E PHILADELPHIA ST
YORK PA 17401
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C5) 183, 862. 6b
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REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: VANBRAKLE RUTH EFILE N0.:21 10-O1b9 ACN: 101 DATE: 11-01-2010
TAX RETURN WAS: C X) 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 Liabilities/Liens (Schedule I)
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DEPARTMENT OF REVENUE
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REY-1547 EX AFP (12-09)
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
C8) 183 , 862.66
C9) 784.87
clo) 13,485.62
(11) 14,270.49
11. Total Deductions 592.17
169
12. Net Value of Tax Return C12) ,
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) 4,5 9 0.0 0
t t
T
b C14) 165, 002.17_
14. ax
jec
o
Net Value of Estate Su
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 1B 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] 1 65 , d0?_ . 17 X 045 = 7:425.09
17. Amount of Line 14 at Sibling rate C17) .00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 = .0 0
19. Principal Tax Due (19)= 7,425.09
TwY f DCTITTC.
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
04-06-2010 CD012584 324.95 6,174.00
08-20-2010 CD013235 .00 943.02
TOTAL TAX PAYMENT 7,441.97
BALANCE OF TAX DUE 16.88CR
INTEREST AND PEN. .00
TOTAL DUE 16.88CR
* 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.
DATE 11-01-2010
ESTATE OF VANBRAKLE RUTH E
DATE OF DEATH 01-17-2010
FILE NUMBER 21 10-0169
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 12-31-2010
(See reverse side under Objections )
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013