HomeMy WebLinkAbout02-07-11~~* r-~~ rNOTICE OF INHERITANCE TAX p~nnsylvan~a ~~ ~r
'~'f`~~?1 ~tfJB~~~rRY~~~i~NT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAX S` j`~` DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~!~ ~ ~F' `;,'DEDUCTIONS AND ASSESSMENT OF TAX
~-
PO BOX 280601 > ~-- '.1+ ~ ri- ...~~ RE:V-x547 IX AFP C12-10)
HARRISBURG PA 1712E-0601
~r ,~'Y
`~`.`' ~ ~~-'.' _ ~ ~~~ ~r ~;=i DATE 01-31-2011
ESTATE OF CHRISTIANSON DAVID G
~~~-~~~ (~~ DATE OF DEATH O S - 10 - 20 0 9
~~p~-j,~;~,~`r' t'(1! rr`~T FILE NUMBER 21 09-0951
STANLEY A SMI`1`f~1'~"`~S'q-~°a,~~ v~.'., '~`~ COUNTY CUMBERLAND
ACN 101
ONE S MARKET ST APPEAL DATE: 04-01-2011
P 0 BOX 114 6 (See reverse side under Objections
HBG PA 17108 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-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALL
OWANCE _
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: CHRISTIANSON DAVID GFILE N0.:21 09-0951 ACN: 101 DATE: 01-31-2011
TAX RETURN WAS: C X) 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 0 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)
C4)
0 0 of this form with your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) .
.0 0 tax payment.
6. Jointly Owned Property (Schedule F) C6) .0 0
7. Transfers (Schedule G) C7) 395, 150.00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: C8) _ 395, 150.00
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
C9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 0 0
.0 0
11. Total Deductions
12. Net Value of Tax Return C11)
C12)
~ . 00
395, 150
00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) _
C13) .
0 0
14. Net Value of Estate Subject to Tax .
C14) _ _ 395, 150.00
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16
17 18
,
reflect figures that include the total of ALL returns assessed to ,
and 19 will
date
ASSESSMENT OF TAX: .
15. Amount of Line 14 at Spousal rate C15) 395, 150.00 X 00 =
00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 0 0 x 0 4 5 .
=
17. Amount of Line 14 at Sibling rate C17) .00
~ 0
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 12
X 15 =
•0 0
0 0
19. Principal Tax Due .
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" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.