HomeMy WebLinkAbout02-11-11NOTICE OF INHERITANCE TAX
~~'/`~';~" ~''I~ ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES +'.;.~J~ ""~~~ , ~
INHERITANCE TAX DIVISION .-, „ ~ -~~, ~~ION$ AND ASSESSMENT OF TAX
PO BOX 280601 ~~`~~ L `, ~ i (_; ; ~~, ,- s'a '_ i.,,~1
HARRISBURG PA 17128-0601
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JOHN E SLIKE E~1~'r~,~.';`~~~:~`i~ f~~.~„ ~A,
2109 MARKET ST
CAMP HILL PA 17011
cl) .00
c2) .00
c3) .00
c4) .00
c5) 104, 060.04
c6) .00
c7) 18, 000.00
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: COLEMAN MARILIA BFILE N0.:21 10-0724 ACN: 101 DATE: 02-07-2011
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) 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)
DATE 02-07-2011
ESTATE OF COLEMAN MARILIA B
DATE OF DEATH 06-23-2010
FILE NUMBER 21 10-0724
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 04-08-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
pennsyLvania ~
DEPARTMENT OF REVENUE
t
REV-1547 EX AFP C12-10)
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
c8) 122, 060.04
C9) 12.989.45
clo) 1 , 693.35
11. Total Deductions C11) 14,682.80
12. Net Value of Tax Return C12) 107, 377.24
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax (14) 107, 377.24
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 (15) .0 0 X 0 0 = .0 0
16. Amount of Line 14 taxable at Lineal/Class A rate (16) _ 107.77_ 4 x 045 = 4,831.98
17. Amount of Line 14 at Sibling rate C17) _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 X15')= 4,831.98
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
09-02-2010 CD013295 184.21 3,500.00
11-15-2010 CD013651 .00 1,147.77
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX PAYMENT 4,831.98
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 OF THIS FORM FOR INSTRUCTIONS.
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