HomeMy WebLinkAbout12-27-10r~+~~r•~-r~ ~r CE OF INHERITANCE TAX
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INHERITANCE TAX DIVISION ~~~~u3;~x,0~`i` ~ TION$ AND ASSESSMENT OF TAX
PO BOX 280601
HARRISBURG PA 17128-0601
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124 W HARRISBURG ST
DILLSBURG PA 17019
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DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-10)
DATE 12-20-2010
ESTATE OF SHETTEL VERA R
DATE OF DEATH 04-10-2010
FILE NUMBER 21 10-0451
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 02-18-2011
(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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REV-1547 EX AFP t12-10~ NOTICE OF INHERITANCE TAX APPRAISEM ENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSES SMENT OF TAX
ESTATE OF: SHETTEL VERA RFILE N0.:21 10-0451 ACN: 101 DATE: 12-20-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) •0 0 NOTE: To ensure proper
2 Stocks and Bonds (Schedule B) C2) 1,7 6 8.12 credit to your account,
. 0 0 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) . of this form with your
4. MortgageslNotes Receivable (Schedule D) (4) .0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 29,890.94
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) (7) .0 0
8. Total Assets c8) 31 , b59 . Ob
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 10,2 5 5.5 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 24 3.01
11. Total Deductions C11) 10,498.51
12. Net Value of Tax Return C12) 21,1b0.55
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts tSchedu le J) C13) .0 0
14. Net Value of Estate Subject to Tax C14) 21,1b0.55
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) .00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 11.1 60 _ SS x 045 = 952.22
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?= 952.22
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
07-07-2010 CD01303b 39.47 750.00
10-12-2010 CD01349b .00 1b2.75
TOTAL TAX PAYMENT 952.22
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.