HomeMy WebLinkAbout11-08-10~,..,~ ~~ ~ N.QI:~.,G.E ~}F INHERITANCE TAX pennsylvan~a ~ ~
BUREAU OF INDIVIDUAL TAXES A'~~~~'~EM t~T~a s~LLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE F
INHERITANCE TAX DIVISION -~ ~F=1~EDUC~I`(fNS AND ASSESSMENT OF TAX REV-1547 EX AFP C12-09) r`
PO BOX 2B0601 '~' ~`~ " `" ' "~ ~ " _
HARRISBURG PA 1712E-0601
~~4~~~~ -8 ~ ~~ ~~ DATE 11-01-2010
ESTATE OF BROUGHER NORMA R
CLER~~ ~~ DATE OF DEATH 11-23-2009
~~0~~~37~ ~`~~~~ FILE NUMBER 21 10 - 0868
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~~ COUNTY CUMBERLAND
.
JEAN BROWN ACN 101
174 TUCKAHOE RD APPEAL DATE: 12-31-2010
D I L L S B U R G P A 17 019 (See reverse side under Objections )
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT AL ONG THIS LINE -'~ RETAIN LOWER PORTION FOR YOUR RECORDS F-
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REV-15 47 EX AFP (12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: BROUGHER NORMA RFILE N0 .:21 10-0868 ACN: 101 DATE: 11-01-2010
TAX RETURN WAS: C X) ACCEPTE D AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) •0 0 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B)
.0 0 credit to your account,
C2)
0 0 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule .
C) C3) of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) •0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 2,8 0 0.0 0
6. Jointly Owned Property (Schedule F) C6) .0 0
7. Transfers (Schedule G) (7) .0 0
8. Total Assets C8) 2800.00
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Cq) 5,2 6 8.0 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .0 0
11. Total Deductions C11) 5,26$.00
12. Net Value of Tax Return (12) 2, 468 . 00 -
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax C14) 2,468.00-
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.
ASSESS MENT 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) _0 0 x 0 4 5 = .0 0
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 C18) .0 0 X 15 = .0 0
19. Principal Tax Due C19)= .0 0
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT t+)
INTEREST/PEN PAID C-)
AMOUNT PAID
TOTAL TAX PAYMENT .00
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" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~ ,..,