HomeMy WebLinkAbout02-07-11`"~'~' '"';`"^ ~~~~~-""r'~`G NOTICE OF INHERITANCE TAX Pennsylvania ~~ ~
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BUREAU OF INDIVIDUA '`.-'TAs~E~~~a`~ AISEMENT, ALLOWANCE OR DISALLOWANCE DE:PARTMENTOFREVENUE
INHERITANCE TAX DIVISIO~~- ' ' ` ~- ~'-~~-OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP C12-10) r`
PO BOX 280601
HARRISBURG PA 17128-0601
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ROBERT G FREY
5 S HANOVER ST
CARLISLE PA 17013
DATE 01-31-2011
ESTATE OF WOOLUMS MIRIAM E
DATE OF DEATH 04-13-1998
FILE NUMBER 21 10-1149
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 04-O1-2011
(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----- ~ --RETAIN-LOWER-PORTION 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: WOOLUMS MIRIAM EFILE N0.:21 10-1149 ACN: 101 DATE: 01-31-2011
TAX RETURN WAS: (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 Owned 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)
C1) 5, 000.00
c2) .00
c3) .00
c4) .00
c5) .00
c6) .00
c7) .00
NOTE; To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
c8) 5, 000.00
c9) .00
clo) .00
11. Total Deductions X11) .0 0
12. Net Value of Tax Return C12) 5, 000.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax (14) 5, 000.00
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 tai date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate (15) 5, 000.00 X 00 = . 00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) _ _0 0 X 0 6 = .0 0
17. Amount of Line 14 at Sibling rate (17) _0 0 X 0 0 = .0 0
18. Amount of Line 14 taxable at Collateral/Class B ra te (18) .0 0 X 15 = .0 0
14. Principal Tax Due E1`•J)'= .00
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
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 FOF;M FOR INSTRUCTIONS.
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