HomeMy WebLinkAbout04-27-11 (2)BUREAM'OF INBIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
44 QQ~~ INHERITANCE TAX
~jlf,~$~T41~~AY~LOWANCE OR DISALLOWANCE
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DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-10)
'i.';,( ~{~~ ~~ ~(` ~~ ~~ DATE 04-11-2011
ESTATE OF SLAYBAUGH FAYE L
CLERK OF DATE OF DEATH 12-04-2009
~RPH~'S COURT FILE NUMBER 21 10-0045
PA
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CIJMBGR! COUNTY CUMBERLAND
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JOHN A WOLFE ACN 101
47 W HIGH ST APPEAL DATE: 06-1 0-2011
GETTYSBURG PA 17325 (See reverse sideuederObjectwos)
Aatount Raaittedr-
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 !-
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REV-1547 EX AFP C12-10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SLAYBAUGH FAYE- LFILE N0 .:21 10-0045 ACN: 101 DATE: 04-I1-2011
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) I1) 155,310.00 NOTE: To onsuro propor
2. Stocks and Bonds (Sehodulo B) (2) ,00 credit to your account,
00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Sehodulo .
C) (3) of thls form with your
4. MortgaBas/Notes Receivable (Schedule D) (4) •00 tax payment.
5. CashlBank Deposits/Misc. Personal Property (Schedule E) C5) 215,797.53
6. Jointly Owned Property (Schedule F) (6) .OD
7. Transfers (Schedule 6) µ~•.: <7) 47,652.00
s. Total Assets (e) 418.759.53
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 14.179.92
10. Debts/Mortgage Liabilities/Lions (Sehodulo I) (10) 2.792.51
11. Total Deductions C11) 16,972.43
12. Net Value of Tax Return (12) 401,787.10
13. Charitable/Governmental Bequests; Non-elected 91 13 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 401.787.10
NOTE: If an assess~ent 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 Lino 14 at Spousal rate (15) .00 X 00 .00
16. Amount of Line 14 taxable at LSneal/Class A rate C16) 4n1. 7R7.1n X 045 = 18,080.42
17. Amount of Lino 14 at Sibling rate tiT) .00 X 12 ' .DO
18. Amount of Line 14 taxablo at Collateral/Class B rate C18) .00 X 15 = .00
19. Principal Tax Due (19)= 18,080.42
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PALD
02-24-2010 CD012383 789.47 15,000.00
01-28-2011 CD013962 2.02- 2,292.97
BALANCE OF UNPAID INTEREST/PENALTY AS OF 01-29-2011
TOTAL TAX PAYMENT 18,080.42
BALANCE OF TAX DUE .00
INTEREST AND PEN. 32.98
TOTAL DUE 32.98
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIDNAL INTEREST. A REFUND. SEE REVERSE SIDE OF TNIS FORM FOR INSTRUCTIONS.