HomeMy WebLinkAbout11-29-10NOTICE OF INHERITANCE TAX pennSy~Vanla ~
BUREAU OF INDIVIDUAL TAx~s `- ';'-APPRE~I~EMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
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INHERITANCE TAX DIVISION ~' ~ 'OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP C12-09)
PO BOX 280601 ~~~
HARRISBURG PA 17128-0601 °"' - .
DATE 11-15-2010
~~'~ ~ ~~ ~ ~~ ~~ ESTATE OF PYNE LAURA C
DATE OF DEATH 02-11-2010
~! ~-~( r~'~ FILE NUMBER 21 10-0173
OF~C?-~.~,'~ ;~~' f ''~! ? ~ ~ COUNTY CUMBERLAND
HAMILTON C ~1f-~'~.f~_ ,~ '~ ~ ~,~, ,,_ , ACN 101
-' ' ~ ' ~`"' APPEAL DATE: 01-14-2011
STE 6
2 0 E B U R D S T (See reverse side under Objections
SHIPPENSBURG PA 17257 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 ~-
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REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: PYNE LAURA (FILE N0.:21 10-0173 ACN: 101
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OR
DATE: 11-15-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .0 0 NOTE: To ensure proper
C2) ,0 0 credit to your account,
2. Stocks and Bonds (Schedule B) submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .0 0 of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 119, 104.38
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) C7) 22, 092.71
c8) 141 , 197.09
s. Total Assets
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 14,4 0 6.31
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 8 3 5.9 8
C11) 15,242.29
11. Total Deductions 80
954
125
12. Net Value of Tax Return C12) .
,
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax (14) 125,954.80
NOTE: If an assessment was issued Rreviously, 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) 1 ?5 , 954.80 x 045 = 5, 667.97
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 )= 5 r 667.97
TAY CR FTITTC~
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
05-05-2010 CD012716 244.26 4,640.97
09-03-2010 CD013314 .00 782.74
TOTAL TAX PAYMENT 5,667.97
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. `