HomeMy WebLinkAbout04-27-11~r •-- - - ~- (~''~--i~IOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL fAX~S ~`P~,y~~;'EMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION d~~.-;pEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 -"
HARRISBURG PA 17128-0601
L. 1 __:p
l.'r ~ is `~ ~J~
R c„`~ ,..ili I.
0. ~FHy;~~. t.~,_.,,~T
R SCOTT CRA'F1'Ef2 ~~
PO BOX 159
DUNCANNON PA 17020
Pennsylvania
DEPARTMENT OF REVENUE
REY-1547 EX AFP (12-10) _
DATE 04-18-2011
ESTATE OF WILSON HOMER D
DATE OF DEATH 10-30-2009
FILE NUMBER 21 09-1070
COUNTY CUMBERLAND
ACN 101
APPEAL•DATE: 06-17-2011
(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
-------------------- -------------- F~
REV-15 ---------
47 EX AFP C12-10~ NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE _
-----------
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: WILSON HOMER DFILE N0.:21 09-1070 ACN: 101 DATE
: 04-18-2011
TAX RETURN WAS: CX) 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) .
,00 NOTE: To ensure proper
credit to your a
3.
Closely Held Stock/Partnership Interest (Schedule C)
(3)
.00 ccount,
submit the upper portion
4. Mortgages/Notes Receivable (Schedule D)
(4)
00 of this form with your
5. .
Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 4,84 8.61 tax payment.
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .0 0
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: (s) 4,848.61
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q)_ 10.58 7 4
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions
12. Net Value of Tax Return (11) 10,587.45
13. Charitable/Governmental Bequests; Non-elected 9113 Tr
usts
(Schedule J) (12) 5,738.$4-
14. Net Value of Estate Subject to Tax C13) .00
(14) 5,738.84-
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16
17
18
reflect figures that include the total of
ALL ,
,
a
returns nd 19 will
ASSESSMENT OF TAX: asses sed to date.
15. Amount of Line 14 at Spousal rate (15) 0 0 00 =
16. Amount of Line 14 taxable at Lineal/Class A rate
(16) . X .00
17. Amount of Line 14 at Sibling rate
(17) 00 x 045 =
.00
_00 X 12 =
.00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .00 X 15 =
19. Principal Tax Due .00
TAX CREDITS: (19)=
.00
PAYMENT RECEIPT DISCOUNT (+)
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" (CR), YOU MAY BE DI~E~
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FDRM FOR INSTRUCTIONS.
_~