HomeMy WebLinkAbout11-08-10BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-Ob01
ROBERT C SAIDIS ESQ
26 W HIGH ST
r.,,_,.,,,;~,., JaI,OT,I.Cf~,-0 INHERITANCE TAX
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~~iR~aUC~~`~~i~S~ AND ASSESSMENT OF TAX
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CARLISLE PA 17013
cl) .00
c2) .00
c3) .00
c4) .00
C5) 174.11
c6) 23, 205.11
t7) .00
CUT ALONG THIS LINE _'~-~ --RETAIN-LOWER-PORTION_ FOR YOUR RECORDS f-- _ ___ ___________
REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR -
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: ACHEY MIRIAM AFILE N0.:21 10-0642 ACN: 101 DATE: 11-01-2010
TAX RETURN WAS: C)O 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 tSchedule 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
REV-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) 23,379.22
c9) 4 , 145.35
clo) 2, 015.15
C11) 6, 1b0 .50
11. Total Deductions C12? 17, 218.72
12.
13. Net Value of Tax Return
Charitable/Governmental Bequests; Non-elected 9113 Trusts tSchedule J) C13) .0 0
Subject to Tax
f E
t
t
V
l (14) 17,218.72
14. e
ue o
s
a
a
Net
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 (15) .0 0 X 0 0 = .0 0
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 1 7 , 2] S _ 72 x 045 = 774 .84
17. Amount of Line 14 at Sibling rate (17) _~ 0 X 12 = .0 0
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 = .0 0
19. Principal Tax Due C19?~ 774.84
TeX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
08-27-2010 CD013274 38.74 736.10
TOTAL TAX PAYMENT 774,84
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.
DATE 11-01-2010
ESTATE OF ACHEY MIRIAM A
DATE OF DEATH 05-31-2010
FILE NUMBER 21 10-0642
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
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