HomeMy WebLinkAbout11-12-10NOTICE OF INHERITANCE TAX
~~ ~~`r" APPR,AISEMENT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUA~`W1-A~E'S_ `
INHERITANCE TAX DIVISION - ~ ,Q~ DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 j' ~ y r.i `: '~, , , , .. ;,
HARRISBURG PA 17128-0601
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DEBRA K ~~~~~~ . ~'~:s r~~~
24 N 32ND ST
CAMP HILL PA 17011
pennsytvania ~
DEPARTMENT OF REVENUE ~'
REV-1547 EX AFP (12-04) r
DATE 11-08-2010
ESTATE OF BENDER JANE I
DATE OF DEATH 03-03-2010
FILE NUMBER 21 10-0308
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 01-07-2011
(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
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REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEM ENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSES SMENT OF TAX
ESTATE OF: BENDER JANE IFILE N0.:21 10-0308 ACN: 101 DATE: 11-08-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED 0N: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .0 0 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) ,0 Q credit to your account,
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) 72,329.97
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) (7) .0 0
8. Total Assets (8) _ 72,329.97
APPROV ED DEDUCTIONS AND EXEMPTIONS:
4. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 15.2 7 0.9 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 56 2.38
11. Total Deductions C11) _ 15,833.28
12. Net Value of Tax Return C12) _ 56,496.69
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedu le J) C13) _ 2,8 24.8 3
14. Net Value of Estate Subject to Tax C14) _ 53, 671.86
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
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
c15) .00 X 00 _ .00
c16) 50.847.03 x 045 °= 2,288.12
cln . 00 x 12 •_ . 00
C18) 2,824.83 X 15 ~ 423.72
(19)°= 2, 711 .84
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
06-01-2010 CD012835 115.79 2,200.00
09-01-2010 CD013298 .00 396.05
TOTAL TAX PAYMENT 2,711.84
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" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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