HomeMy WebLinkAbout01-20-11r NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL `t''A*f=_s AP'P~A~~~~SEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE rax DIV1s1DN _ ' OF DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601
HARRISBURG PA 17128-0601
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MARIELLE F ',b1AZEN '
STE 202
2000 LINGLESTOWN RD
HARRISBURG PA 17110
(1) 176,231.00
(2) .00
(~) .00
C4) .00
(5) 1,700.00
(6) 4,300.52
(7) .00
CUT ALONG THIS LINE _ --~ R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS ~-- _ _____________
REV-1547 EX AFP-x;12-10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: LOHNES BEVERLY JFILE N0.:21 10-0804 ACN: 101 DATE: 0:1-10-2011
TAX RETURN WAS: C)O ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers CSc~edule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
per~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 .
($) ___ 182,231.52
(q) 3 , 209.45
(lo) 3,232.98
6 , 442.43
11 Total Deduct ions ( 11 ) _~
. C 12) 175 , 789.0'9
12. Net Value of Tax Return ___
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) _M 2,50 0.00
14. Net Value of estate Subject to Tax (14) ___ 173,289.0'9
NOTE: If an assessment was issued previously,
reflect figures that include the total
ASSESSMENT OF TAX::
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
DATE 01-10-2011
ESTATE OF LOHNES BEVERLY J
DATE OF DEATH 07-28-2010
FILE NUMBER 21 10-0804
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 03-11-2011
(See reverse side under Objections
Amount Remitted __
MAKE CHECK PAYABLE AND RE~4I T PAYMENT TO
REGISTER OF WILLS
1 COURTHOUSE S4UARE
CARLISLE PA 17013
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns assessed to date.
(15) . DO X 00 N .00
(16) 17~,~ x 045 ~ 7,798.0.1
(17) x 12 N .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .0 0 X 15 ~ .OIJ
19. Principal Ta~c Due (19)__ 7,798.O:L
TAY f'RFTITTS
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMl)UNT PAID
10-26-2010 l~CD013567 389.90 7,408.11
TOTAL TAX PAYMENT _ 7,79$.01
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 DF THIS FORM F"CIR IPJSTRCICTIONS.
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