HomeMy WebLinkAbout02-07-11ICE OF INHERITANCE TAX
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BUREAU OF INDIVIDUAL TAXE~~•Lf~ ~ NT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION G'w ;-: , ~_~:`;1~E~~ICTIONS AND ASSESSMENT OF TAX '~
PO BOX 280601 i f-. „ ;,r ~ . ~ - •-- ~ { t - ^ REV-1547 IX AFP (12-10)
HARRISBURG PA 17128-0601
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ELENA A f~,~:....-~ ~i~.~ ~~ ,~.. ~-~._~., . ,
160 W SOUTH ST
CARLISLE PA 17013
DATE 01-31-201].
ESTATE OF PALMER HENRIETTA L
DATE OF DEATH 05-15-200b~
FILE NUMBER 21 06-0422
COUNTY CUMBERLAN~~
ACN 101
APPEAL DATE: 04-01-2011
(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 F-
REV-15 _
_
47 EX AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE:- OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: PALMER HENRIETTA LFILE N0.:21 06-0422 ACN: 101 DATE: 01-31-2011
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAI SED 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
credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .0 0 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D)
(4)
00 of this form with your
5.
Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) .
.0 0 tax payment.
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) C7) .0 0
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: ~$) .00
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) .0 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .0 0
11. Total Deductions
12• Net Value of Tax Return cll) . 00
13
Charit
bl C12) .0 0
.
a
e/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) [13) .0 0
14. Net Value of Estate Subject to Tax
(14) .0 0
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16
17
18
reflect figures that include the total
of ALL ,
,
and
returns assessed to date 19 will
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) _[l0 x 0 4 5 = .
17. Amount of Line 14 at Sibling rate C17) •0 0
~ ~ X 12 -
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .0 0 X 15 = 0 0
19. Principal Tax Due .
TAX CREDITS:
c19)=
. 00
PAYMENT RECEIPT
DISCOUNT (+)
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" lCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~~~2
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