HomeMy WebLinkAbout01-03-11:~~•~ ~:-
NOTICE OF INHERITANCE TAX pennsylvan~a t ~
rti ~• -; /41r~1!4~IMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL T/~E~~ ~{ ( '° „-;~-•(
INHERITANCE TAX DIVISION ,,., RUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP C12-10)
PO BOX 280601 ~`` ~. ~- ~•~'~ _ ~
HARRISBURG PA 17128-0601 ~'` - "~~ ``~``"~"~
„~ DATE 12-27-2010
a ~:~ ,,. ~ 6'~ w ~ ~ i
`~ ' .~~ $~,, ESTATE OF SHOWERS DONALD P
DATE OF DEATH 02-08-2010
t/'~~ ~~' ~~~ FILE NUMBER 21 10 - 0403
Cj=~~'j--~,~;,j'~ ~~~J~i COUNTY CUMBERLAND
RONALD E JGi ~^E,~~Qj ~ ~~'~ , ~~ ACN 101
78 W POMFRET ST APPEAL DATE: 02-25-2011
CAR L I S L E P A 17 013 (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- ~ --
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REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SHOWERS DONALD PFILE N0.:21 10-0403 ACN: 101 __-
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OR
DATE: 12-27-2010
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
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. MortgageslNotes Receivable (Schedule D) t4) •0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 4,516.81
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) (7) .0 0
8. Total Assets C8) 4 , 516.81
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 4.b 2 7.5 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .0 0
C11) 4,627.50
11. Total Deductions b9-
110
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 C14) 110.69-
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 C16) _0 0 x 0 4 5 = .0 0
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 )= .0 0
TAY f_RFTfTTt
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
TOTAL TAX PAYMENT .00
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.
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