HomeMy WebLinkAbout01-03-11NOTICE OF INHERITANCE TAX
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INHERITANCE TAX DIVISION "~ f ~` "! ~ DEDUCTIONS AND ASSESSMENT OF TAX
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HARRISBURG PA 17128-0601
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CHAMBERSBURG PA 17201
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DEPARTMENT OF REVENUE
REV-1547 IX AFP C12-10)
DATE 12-27-2010
ESTATE OF SCOTT REBA C
DATE OF DEATH 06-08-2010
FILE NUMBER 21 10-0663
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 02-25-2011
(See reverse side under Objections
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE _ --~ __RETAIN_LOWER_PORTION_ FOR YOUR RECORDS F'~-
REV-1547 EX-AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLDWANCE~
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SCOTT REBA (FILE N0.:21 10-0663 ACN: 101 _______________
OR
DATE: 12-27-2010
TAX RETURN WAS: C X) ACCEPTED AS FILED t ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) .0 0 NOTE: To ensure proper
C2) .0 0 credit to your account,
2. Stocks and Bonds (Schedule B) submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .0 0 of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 8 9 3.6 8
6. Jointly Owned Property (Schedule F) (6) 6, 068.74
7. Transfers (Schedule G) C7) 6,493.88
C8) 13 , 456 .30
8. Total Assets
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 12,3 3 0.7 5
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .0 0
C11) 12,330.75
11. Total Deductions 125.55
1
12. Net Value of Tax Return C12) ,
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
t to Tax
t
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bj
E
t C14) 1 , 125.55
14. ec
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a
e
Net Value of
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 C15) .00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) x 0 4 5 = 5 0.6 5
17. Amount of Line 14 at Sibling rate C17) _ 00 X 12 = . 00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 = .0 0
19. Principal Tax Due C19)= 50.65
TAY t`DCTITTC
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
10-15-2010 CD013507 .00 50.65
TOTAL TAX PAYMENT 50.65
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. ~