HomeMy WebLinkAbout02-07-11n[ ~r!'~' NOTICE OF INHERITANCE TAX
BUREAU OF INDfl!~(,~AUAL, ~zES~`~'~ C,~~APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DJ~i/IShQ;N ~i { C OF DEDUCTIONS AND ASSESSMENT OF TAX
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HARRISBURG PA 17128-0601
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301 MARKET ST
PO BOX 109
LEMOYNE PA 17043
cl) .00
~2) 248,474.53
C3) .00
c4) .00
c5) 20 , 973.47
C6) 5, 030.16
C7) 308, 011.02
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: FOUST NADINE RFILE N0.:21 10-0239 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)
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 Dwned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
C 11) 21 , 428 .44
c12) 561 , 060.74
c13) . 00
C14) 561 , 060.74
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.
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) SSl .060.74 x 045 = 24,797.73
17. Amount of Line 14 at Sibling rate C17) .00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) 10,000.00 X 15 = 1,500.00
19. Principal Tax Due C19)= 26,297.73
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
06-04-2010 CD012850 1,275.00 24,225.00
11-30-2010 CD013723 .00 797.73
DATE 01-31-2011
ESTATE OF FOUST NADINE R
DATE OF DEATH 03-05-2010
FILE NUMBER 21 10-0239
COUNTY CUMBERLAND
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
pennsyLvan~a ~ ~ mm~
DEPARTMENT OF REVENUE
REV-x547 EX AFP (12-10)
NOTE:: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
C8) 582.489.18
C9) __ S , 634.66
Clo) _ 12, 793.78
TOTAL TAX PAYMENT _ 26,297.73
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.
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