HomeMy WebLinkAbout02-07-11R~~'~~L,"'-~ '~RitA~EMENT E ALLOWANCE TOR DISALLOWANCE
BUREAU OF INDIVIDUAL TAdf~~ ,,
INHERITANCE TAX DIVISION ~ ,,' , a ~; , ~~; '`:,~`~ SEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 --
HARRISBURG PA 17128-0601
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DEPARTMENT OF REVENUE
RE=V-1547 IX AFP (12-10)
'~~-~ ~ ~ ~, ~• ~'_J DATE 01-31-2011
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ANDREW C S ~E`LY~ '~SG~`_) ~ '~, t t-~,
127 S MARKET ST
PO BOX 95
MECHANICSBURG PA 17055
ESTATE OF HOOD MARY A
DATE OF DEATH 02-21-2010
FILE NUMBER 21 10-0978
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
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: HOOD MARY AFILE N0.:21 10-0978 ACN: ini nerF. n,_z,_~n „
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .0 0
2. Stocks and Bonds (Schedule B) (2) .0 0
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .0 0
4. Mortgages/Notes Receivable (Schedule D) (4) .0 0
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 5,7 8 9.8 4
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) (7) .0 0
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
8. Total Assets (8) _ 5,789.84
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 7 31.30
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10)_ 150,657.74
11. Total Deductions (11) 151,389.04
12. Net Value of Tax Return (12) 145,599.20-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13] .0 0
14. Net Value of Estate Subject to Tax (14) 145,599.20-
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 1'7, 18 and 19 will
reflect figures that include the total of ALL returns assessed ta~ d ate.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate (15) .0 0 X 0 0 - .0 0
16. Amount of Line 14 taxable at Lineal/Class A rate (16) _ 00 X 04~i = . 00
17. Amount of Line 14 at Sibling rate (17) _0 0 X 12 - .0 0
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 = .0 0
19. Principal Tax Due C1`•~)= .00
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX PAYMENT _ .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE DF THIS FORM FOR INSTRUCTIONS.