HomeMy WebLinkAbout12-28-10 (3)NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAx ~^- NT, ALLOWANCE OR DISALLOWANCE
~~~~~~~CTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION ~~{;~`, ,r ~ r
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421 S 24TH ST
CAMP HILL PA 17011
C1) .00
C2) b, 276 .25
C3) .00
C4) .00
C5) 8,500.00
C6) 8, 627.74
C7) 99,890.7b
CUT ALONG THIS LINE _ ~i 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 0F: FETROW DAVID EFILE N0.:21 10-0213 ACN: 101 DATE: 12-13-2010
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 DepositslMisc. 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 tSchedule I)
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DEPARTMENT OF REVENUE
REV-1547 IX AFP C12-D9)
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
C8) 123 , 244 .75
C9) 12.217.50
clo) .00
11. Total Deductions C11) 12,217.50
C12) 111,077.25
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14 Net Value of Estate Subject to Tax C14) 111 , 077 .25
.
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 C15) 111 , 077.25 X 00 = . 00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) _0 0 x 0 4 5 = .0 0
17. Amount of Line 14 at Sibling rate C17) .~ ~ 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)= .0 0
TAY CRFnITS.
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX PAYMENT ,00
BALANCE OF TAX DUE ,Q0
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 12-13-2010
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 F ~t~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
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