HomeMy WebLinkAbout01-31-11. NaT.~.CE„_OF INHERITANCE TAX ~ ~° ~~
i ~-_~APPRALSEMEN7;~.%'ALLOWANCE OR DISALLOWANCE PennsyLvan~a ~~: ~ ,
BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ' DF DEDUCtY~NS AND ASSESSMENT OF TAX
PO BOX 280601 ~ ~ ---- REV-1547 EX AFP C12-10)
HARRISBURG PA 17128-0601
~•~ ' ~ ~- ' DATE O 1 - 25 - 2011
ESTATE OF MORONES MITZI W
!~~~'~;~' '~'°= DATE OF DEATH 03-03-2010
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~.}'~''~=?~`~',~~L~ ~_.- J~~J.r i i FILE NUMBER 21 10 - 0650
~ '~~ ='~! ' ~ '~` ,~~~', ~'~ COUNTY CUMBERLAND
SETH T MOSEBEY c~-~`''~ ACN
10 E HIGH ST 101
APPEAL DATE: 03-26-2011
C A R 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 - -~-~ R_ETA_IN LOWER POR
TION
FOR YOUR RECORDS ~
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REV-1547 EX AFP C12-10~ NOTIGE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: MORONES MITZI WFILE N0.:21 10-0650 ACN: 101 DATE: 01-25-2011
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
2. Stocks and Bonds (Schedule B) C2) .
Q Q NOTE: To ensure proper
cr
dit t
, e
o your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .0 0 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D)
C4)
00 of this form with your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) .
8,9 94.0 3 tax payment.
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) (7) .0 0
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: c8) - $ 994.03
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (g) 9,8 7
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 6,2 5 9.3 2
11 . Total Deductions
12. Net Value of Tax Return C11) 16, 131.65
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule C12)
J) 7, 137. 62-
14. Net Value of Estate Subject to Tax C13) .0 0
C14) 7, 137.62-
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
ASS
ESSMENT OF TAX: .
15. Amount of Line 14 at Spousal rate (15) 0 0
0 0 =
16. Amount of Line 14 taxable at Lineal/Class A rate C16) .
X
n 0 x 0 4 5 = .0 0
17. Amount of Line 14 at Sibling rate
C17) .0 0
18. Amount of Line 14 taxable at Collateral/Class B rate C18) On X 12 =
0 0
15 = .00
19. Principal Tax Due .
X .0 0
TAX CREDITS:
c19)=
. 00
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER 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" fCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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