HomeMy WebLinkAbout11-08-10.._` ~~_, NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES AP,F~R~--~S~~EMEi~tT.~f. A~LiOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ;~(~~ ;DEDUCT:IO!NS AND ASSESSMENT OF TAX
PO BOX 280601 ~~~~~ '' `' ~ ' ` - ~ -
HARRISBURG PA 17128-0601
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MICHAEL S BROWN ~~~~±~C~~--~~f`•~«.:{ ~.'!~` j'~,
3909 ROSEMONT AVE
CAMP HILL PA 17011
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DEPARTMENT OF REVENUE
t-
REV-1547 EX AFP (12-09)
DATE 11-01-2010
ESTATE OF BROWN KATHERINE E
DATE OF DEATH 07-05-2010
FILE NUMBER 21 10-0706
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
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS E-
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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: BROWN KATHERINE EFILE N0.:21 10-070b ACN: 101 DATE:
-----------
11-01-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) •0 0 NOTE: T o ensure proper
2. Stocks and Bonds (Schedule B) (2)
.0 0 credit
to your account,
0 0 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) •0 0 tax pay ment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 5,2 9 9.5 3
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) (7) .0 0
8. Total Assets C8) 5,299.53
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) .0 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 1,913.4 2
11 . Total Deductions C11) 1 , 913.42
12. Net Value of Tax Return (12) 3, 386.11
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) t13) .0 0
14. Net Value of Estate Subject to Tax C14) 3,386.11
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 a nd 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 t15) .0 0 X 0 0 - .0 0
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 3 , 386.11 x 045 = 152 .37
17. Amount of Line 14 at Sibling rate (17) .0 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 (19)= 152.37
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
09-02-2010 CD013289 7.62 144.75
TOTAL TAX PAYMENT 152.37
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.