HomeMy WebLinkAbout01-31-11BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
RICHARD C SNELBAKER
44 W MAIN ST
PO BOX 318
NOTICE OF INHERITANCE TAX
Arf'~RRAS'EMENT, ~ -OWANCE OR DISALLOWANCE Pennsylvania w~~ ~
DEPARTMENT OF REVENUE
DF DEDUCTIQNS~AND ASSESSMENT OF TAX
F,~-,.- , ; REV-1547 IX AFP (12-10)
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MECHANICSBURG PA 17055
DATE 01-25-2011
ESTATE OF DEVEREAUX TODD R
DATE OF DEATH 12-04-2009
FILE NUMBER 21 09-1147
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 03-26-2011
(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 ~--
_
_
REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE _
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: DEVEREAUX TODD RFILE N0.:21 09-1147 ACN: 101 DA
TE: 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)
2. Stocks and Bonds (Schedule B) .0 0
NOTE: To ensure proper
C2)
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .0 0
.0 0 credit to your account,
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) C5) .
2,7 91.4 0 tax payment.
6. Jointly Owned Property (Schedule F) C6) .0 0
7. Transfers (Schedule G)
C7) .0 0
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: ($) 2.791 40
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 10 7 0 7 6
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 5.8 4 3 6 9
11. Total Deductions
12. Net Value of Tax Return C11) 16,594.45
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Sched
l J)
13~ 13,8 0 3.0 5-
u
e
14. Net Value of Estate Subject to Tax C .0 0
C14) 13,803.05-
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16
17
,
reflect figures that include the total of ALL r
t ,
and 19 will
e
urns
ASSESSMENT OF TAX• assessed to d to
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
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C-)
C15) .00 x 00 = .00
c16) nn x 045 = .00
C17) nn x 12 = .00
C18) .00 x 15 = .00
C19)= . 00
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),
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS,DUE
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