HomeMy WebLinkAbout12-17-10NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDU;pL `'i'A~S", ~-_ ~-,pPRAISEMENT, ALLOWANCE OR DISALLOWANCE
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c2) 6, 276.25
c3) .00
C4) .00
t5) 8,500.00
t6) 8, 627.74
t7) 99,890.76
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 OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: FETROW DAVID EFILE N0.:21 10-0213 ACN: 101 DATE: 12-13-2010
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) 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 tSchedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens tSchedule I)
pennsylvan~a ~ ~ _.
DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-04)
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
ts) 123 , 294 .75
t9) 12 , 217.50
tlo) .00
11. Total Deductions C11) 12,217.50
12. Net Value of Tax Return t12) 111 , 077.25
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) t13) .0 0
14. Net Value of Estate Subject to Tax C14) 111 , 077.25
NOTE: If an assessment was issued previously,
reflect figures that include the total
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
DATE 12-13-2010
ESTATE OF FETROW DAVID E
DATE OF DEATH 09-15-2009
FILE NUMBER 21 10-0213
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 02-11-2011
(See reverse side under Objections
Amount Remitted -~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns assessed to date.
t15) 111 , 077.25 x 00 = . 00
t16) _ 00 x 045 = . 00
t17) _ 00 x 12 - . 00
18. Amount of Line 14 taxable at Collateral/Class B rate t18) .0 0 x 15 = .0 0
19. Principal Tax Due C19)= .0 0
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
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.
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