HomeMy WebLinkAbout01-03-11rr~~.~,~~ r.-,~ r,~,-,_ NOTICE OF INHERITANCE TAX
t~`~ ~ , ~ ;:~I iA~~~~MENT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TA
INHERITANCE TAX DIVISION -~'~' i ; ~ ' - `~ f~,~I SEDUCTIONS AND ASSESSMENT OF TAX
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HARRISBURG PA 17128-0601
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64 S PITT ST
CARLISLE PA 17013
pennsylvania
DEPARTMENT OF REVENUE
REV'-1547 EX AFP C12-10)
DATE 12-27-2010
ESTATE OF HENDRICKSON JUDITH N
DATE OF DEATH 07-10-2005
FILE NUMBER 21 07-0393
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 02-25-2011
(See reverse side under Objections)
Amount Remitted r
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
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REV-1547 EX AFP t12-10~ NOTICE OF INHERITANCE TAX APPRAISEM ENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSES SMENT OF TAX
ESTATE OF: HENDRICKSON JUDITH NFILE N0.:21 07-0393 ACN: 101 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) (1) .0 0 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2? 48,657.45 credit to your account,
0 0 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) t3) . 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) t5) 3,7 81.31
b. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) (7) 7,244.09
8. Total Assets C8) _ 59 , b82.85
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses tSchedule H) C9) 14.8 4 7.5 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 51 , 246.07
11. Total Deductions tll) 66,093.57
12. Net Value of Tax Return (12) 6,410.72-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedu le J) C13) .0 0
14. Net Value of Estate Subject to Tax C14) _ 6 410.72-
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) .~ ~ 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
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) 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.