HomeMy WebLinkAbout12-27-10NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES T~` ALLOWANCE OR DISALLOWANCE
~ ~'~1NS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION `''
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HARRISBURG PA 17128-0601
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220 BALTIMORE ST
GETTYSBURG PA 17325
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DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-10)
DATE 12-20-2010
ESTATE OF AUSTIN ALICE M
DATE OF DEATH 06-21-2010
FILE NUMBER 21 10-0652
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
-~ R_ETA_IN LOWER POR_TION_ FOR YOUR
6 THIS LINE
CUT ALON RECORDS E-- _ _______________
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REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEM ENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: AUSTIN ALICE MFILE N0.:21 10-0652 ACN: 101 DATE: 12-20-2010
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ~ CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .0 0 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .0 0 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. Mortgages/Notes Receivable (Schedule D) C4) •0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 14, 060.15
6. Jointly Owned Property (Schedule F) (6) 1 , 415.13
7. Transfers (Schedule G) (7) .0 0
8. Total Assets C8) 15,475.28
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 10.8 7 0.6 6
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .0 0
11. Total Deductions C11) 10,870.66
12. Net Value of Tax Return C12) 4,604.62
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedu le J) t13) 5 0 0.0 0
14. Net Value of Estate Subject to Tax C14) 4, 104.62
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) .0 0 X 0 0 = .0 0
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 4. 14.62 x 045 = 184.71
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 (19)= 184.71
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
10-13-2010 CD013490 .00 184.71
TOTAL TAX PAYMENT 184.71
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.