HomeMy WebLinkAbout01-03-11NOTICE OF INHERITANCE TAX
BUREAU OF INDIVID~~-, r^~~~~:" ~i~"~:~~P„,~,AISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISID~` ~' DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 ~`~ `~ ~ _ ` ';:~~i ~
HARRISBURG PA 17128-060~~~ ' ~' ~ ~ 'V'~ ~ a- ~--~1
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MECHANICSBURG PA 17050-2131
tl) .00
t2) .00
t3) .00
t4) .00
t5) 187 , 580 .42
t6) .00
t7) .00
CUT ALONG THIS LINE "i --RETAIN-LOWER-PORTION FOR YOUR RECORDS ~---
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REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: HAVERSTOCK MARTIN LFILE N0.:21 10-1003 ACN: 101 DATE: 12-27-2010
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)
b. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses tSchedule H)
10. Debts/Mortgage Liabilities/Liens tSchedule I)
Pennsylvania ...
DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-10)
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
C8) _ 187 , 580 .42
t9) 16 , 808.51
clo) 247.07
C11) 17, 055.58
11 . Total Deductions 524.84
170
12. Net Value of Tax Return C12) ,
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) t13) .0 0
14. Net Value of Estate Subject to Tax t14) _ 170,524.84
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 d ate.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate t15) .0 0 X 0 0 = .0 0
16. Amount of Line 14 taxable at Lineal/Class A rate t16) 1 70 . X24 . 84 x 045 = 7, 673.65
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)= 7, 673.66
TAY f DCTITTC
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT t+)
INTEREST/PEN PAID C-) AMOUNT PAID
10-2b-2010 CD013553 .00 7,673.66
DATE 12-27-2010
ESTATE OF HAVERSTOCK MARTIN L
DATE OF DEATH 07-24-2010
FILE NUMBER 21 10-1003
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 02-25-2011
(See reverse side under Objections
Amount Remitted r
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TOTAL TAX PAYMENT 7,673.66
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.