HomeMy WebLinkAbout12-10-10~~~ ~~~`~~{~ {1~~4 ~~ OF INHERITANCE TAX
NDIVIDUAL TAXES .?~.Y~ _ 1~Q'~~'A~~~~~~' ALLOWANCE OR DISALLOWANCE
BUREAU OF I
INHERITANCE TAX DIVISION +` t,f ~ -~~'~~~~1~'~IONS AND ASSESSMENT OF TAX
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HARRISBURG PA 17128-0601
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CLERK 0~
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JOEL R ZULLINGER~~~'~~~ ~'~` '~`'
STE 200
14 N MAIN ST
CHAMBERSBURG PA 17201
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c7) 51 , 347 .88
CUT ALONG THIS LINE _ -~-~ R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS ~ ______________
REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE-OR-
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: FORRESTER MILDRED VFILE N0.:21 10-0869 ACN: 101 DATE: 12-06-2010
TAX RETURN WAS: t)O ACCEPTED AS FILED t ) 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 tSchedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property tSchedule F)
7. Transfers tSchedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses tSchedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
Pennsylvania ~
DEPARTMENT OF REVENUE ~'
REV-1547 EX AFP C12-09)
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
ts) 51 , 347 .88
c9) 13 , 505.50
clo) .00
11. Total Deductions tll) 13,505.50
t12) 37,842.38
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 4113 Trusts (Schedule J) t13) .0 0
14 Net Value of Estate Subject to Tax (14) 37,842.3$
.
NOTE: If an assessment was issued previously, lines 14, 15 and/or lb, 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 C15) 37,842.38 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate t16) .~ ~ x 0 4 5 = .0 0
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 ra te 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 t-) 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.
DATE 12-06-2010
ESTATE OF FORRESTER MILDRED V
DATE OF DEATH 06-13-201D
FILE NUMBER 21 10-0869
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 02-04-2011
(See reverse side under Objections )
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
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