HomeMy WebLinkAbout03-25-11NOTICE OF INHERITANCE TAX Pennsylvania ~
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BUREAU OF INDIVIDUAL TAx~S AI~PRAIS~~ENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX '
0 BOX 280601
REV-1547 EX AFP C12-10)
HARRISBURG PA 17128-0601
DATE 03-14-2011
ESTATE OF CLOUSER JR EARL E
- DATE OF DEATH 12-05-2009
FILE NUMBER 21 09-1159
PATRICIA CLO'~USER COUNTY CUMBERLAND
ACN 101
24 COLLATE DR APPEAL DATE: 05-13-2011
CAMP H I L L P A 17 011 (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 PORTION FOR YOUR RECORDS F--
REV-1547 EX AFP C12-10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: CLOUSER JR EARL EFILE N0.:21 09-1159 ACN: 101 DATE: 03-14-2011
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1)
0 0
2. Stocks and Bonds (Schedule B) .
C2) 7,8 71,5 $ NOTE: To ensure proper
credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .0 0 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D)
C4)
0 0 of this form with your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) .
C5) 19, 703.54 tax payment.
6. Jointly Owned Property (Schedule F) C6) .0 0
7. Transfers (Schedule G) C7) 322, 984.29
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: C8) 350 , 559.41
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)- .0 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .0 0
11. Total Deductions
12. Net Value of Tax Return C11)
C12) .0 0
350,559.41
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax
C14) __ 350,559.41
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) 350,559.41 X 00 = 00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 0 0 X 04 5 = .
17. Amount of Line 14 at Sibling rate C17)
f]0 X 12 = .0 0
18. Amount of Line 14 taxable at Collateral/Class B rate C18)
.0 0 X 15 = .0 0
0 0
19. Principal Tax Due .
TAX CREDITS: C19)=
.00
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER 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 FORM FOR INSTRUCTIONS.''~
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