HomeMy WebLinkAbout01-03-11NOTICE OF INHERITANCE TAX
r~ ~"~r '- SEMENT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUA ~~~~ ~~ ~-` ~'DEDUCTIONS AND ASSESSMENT OF TAX
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DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-10)
DATE 12-27-2010
ESTATE OF BARNHART VALD C
DATE OF DEATH 10-10-2009
FILE NUMBER 21 09-1055
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
-RETAIN-LOWER-PORTION FOR
CUT ALONG THIS LINE -~
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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: BARNHART VALD (FILE N0.:21 09-1055 ACN: 101 DATE: 12-27-2010
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1 . Real Estate (Schedule A) C1) 92, 000.00 NOTE: To ensure proper
2 Stocks and Bonds (Schedule B) C2) .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) (4) .0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property tSchedule E) (5) 13, 109.12
b. Jointly Owned Property tSchedule F) (b) .0 0
7. Transfers (Schedule G) (7) .0 0
8. Total Assets C8) 105, 109.12
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 17,5 0 2.2 4
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 50,344.45
11 . Total Deductions C11) b7, 84b . b9
C12) 37,2b2.43
12.
13. Net Value of Tax Return
Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) _ .0 0
14. Net Value of Estate Subject to Tax C14) 37 , 2b2.43
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 (15) .0 0 X 0 0 = .0 0
lb. Amount of Line 14 taxable at Lineal/Class A rate Clb) ; 7.262 .43 X 045 = 1 , b7b . 81
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)= 1 , b7b . 81
TAX CRF1lTTS _
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
10-19-2010 CD013516 .00 l,b7b.81
BALANCE OF UNPAID INTEREST/PENALTY AS OF 10-20-2010
TOTAL TAX PAYMENT l,b7b.81
BALANCE OF TAX DUE .00
INTEREST AND PEN. 18.b3
TOTAL DUE 18.b3
* 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.