HomeMy WebLinkAbout11-29-10BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280b01
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
'' 'Pl~,piISEMENI~~`- ALLOWANCE OR DISALLOWANCE
~~ - . ~ ~OF- DEDIFf~T~ONS AND ASSESSMENT OF TAX
~.
2~~~ ~~~ 29 ~ 2~ ~~
CLE~~~ t~;~.
RICHARD E CONNELL~~L~~~~~' ~~ ~'- ~~~'
2303 MARKET STREET
CAMP HILL PA 17011
C1) .00
C2) .00
C3) .00
C4) • 00
c5) 500.00
Cb) .00
c7) .00
CUT ALONG THIS LINE "-~ RETAIN LOWER PORTION_FOR_YOUR RECORDS E-- ___________________
-------------------------------------- ----- - --- - -- ----- -- -
REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE 0F: ISELE ROBERT DFILE N0.:21 10-0932 ACN: 101 DATE: 11-15-2010
TAX RETURN WAS: C X) 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 (Schedule 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)
pennsylvania ~
DEPARTMENT OF REVENUE
REV-15~i7 EX AFP (12-09)
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
c8) 500.00
C4) 12.387.00
C10) • 00
(11) 12,387.00
11. Total Deductions 11,$87.00-
12. Net Value of Tax Return C12) 00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .
14. Net Value of Estate Subject to Tax (14) 11 , 887 . 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 .
ASSESSMENT OF TAX:
0 0 =
0 0
.0 0
15. Amount of Line 14 at Spousal rate C15) .
X
16. Amount of Line 14 taxable at Lineal/Class A rate C16) _0 0 x 04 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
C19)= .0 0
14. Principal Tax Due
TAY f DCTITTC.
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
DATE 11-15-2010
ESTATE OF ISELE ROBERT D
DATE OF DEATH 12-08-2009
FILE NUMBER 21 10-0932
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 01-14-2011
(See reverse side under Objections
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TOTAL TAX PAYMENT ,Op
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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