HomeMy WebLinkAbout01-20-11BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
ROGER B IRWIN
60 W POMFRET ST
CARLISLE
NO I ~ OF INHERITANCE TAX
.. .
1,=; "'AP~'RAISE~Iw. '; ALLOWANCE OR DISALLOWANCE
OF DED'UC1~ ONS AND ASSESSMENT OF TAX
CUT ALONG THIS LINE _ ---~ --RETA_IN LOWER POR_TION_ FOR YOUR RECORDS F- _ _____________
REV-1547-EX AFP C12-101 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OIL
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: MOORE WILLIAM FFILE N0.:21 10-0791 ACN: 101 _DATE: 0:1-10-2'011
TAX RETURN WAS: (X) ACCEPTED AS FILED t ) CHANGED __ _-
APPRAISED VALUE I)F RETURN BASED ON: ORIGINAL RETURN
1. Real Estate CSr.hedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. MortgageslNotes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
pei~r~sylvania ~
DEPARTMENT OF f2EVENUE
REV-1547 EX". AFP (12-10)
NOTE: To ensure proper
credit: to your account,
submit the upper portion
of this form with your
tax payment.
($) ___ 49, 155.46
(9) 12,752.91
clo) 1,738.31
(117 14,491.22
11. Total Deductions ___ 24
bb4
34
12. Net Value of Tax Return ( 127 _~ .
,
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) _~ .0 0
14. Net Value of Estate Subject to Tax c14) ___ 34,664.24
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect f:iarrrPS that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of L1ne 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Ta:K Due
TAY ('RFT]TTC
c15) .00 x 00 ~ .00
c16) j4.664.24 x 045 =__ 1,559.89
(17) .00 x 12 __ .00
(1$) .00 x 15 __ .DID
c19)= 1,559.89
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-) AMOUNT PAID
11-02-2010 CD013583 .00 1,559.89
(1) .00
(2) 29, 126.59
c3) .00
(4) .00
(5) 20 , 028.87
c6) .00
(7) .00
DATE 01-10-2011
ESTATE OF MOORE WILLIAM F
r, ._...,,; ,,- DATE OF DEATH 06-28-2010
'- -~ , :,-, ,- FILE NUMBER 21 10 - 0791
r, ~; ~-,
COUNTY CUMBERLAND
r' ~ ~ ACN 101
APPEAL DATE: 03-11-2011
P A 17 013 ( See reves^se side under Ohj~ectio>Eas
Amount Remitted __
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TOTAL TAX PAYMENT _ 1,559.89
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" C(:R), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM F-OR INSTRUCTIONS.
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