HomeMy WebLinkAbout04-27-11,~~ NOTICE OF INHERITANCE TAX pennsylvania r:
BUREAU OF INDIVID~L'~AXES `•~CP~e'I2AISEMENT, ALLOWANCE oR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAx Drv1s1oN -~ ~ i <`OF DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 ,_ _ ... ~_ -. ~'~-~ REV-1547 EX AFP <12-10)
HARRISBURG PA 17128-0601
~ s ~ ^
., ~ ~- DATE 04-18-2011
ESTATE OF RODRIGUEZ JOHN A
~`I E~'~ (;r DATE OF DEATH 11 - 13-2009
r~Fp~.~,~;~,,!.',~~r~!`.`'1~T FILE NUMBER 21 09-1095
~'" ~ °"! ~'''~ ?~ COUNTY CUMBERLAND
JOHAAN FC`~''F~#KAMP" ~ ACN 101
TURNER & OCONNELL APPEAL DATE: 06-17-2011
4 7 0 1 N F R O N T S T ( See reverse side under Objections
HBG PA 17110 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ---- ~ RETAIN LOWER PORTION FOR YOUR RECORDS E~- _
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REV-1547 EX AFP (12-10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLDWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: RODRIGUEZ JOHN AFILE N0.:21 09-1095 ACN: 101 DATE: 04-18-2011
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .00 NOTE: To ensure
proper
2. Stocks and Bonds (Schedule B) IZ) ,00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D) of this form with your
C4) 6,580.00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) .00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) ~7) .00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: cs) 6,580.00
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Iq) 70.8 94 00
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 5,0 00.00
11. Total Deductions C11) 15,894.00
12. Net Value of Tax Return (12) 9,314.00-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax
C14) _ 9,314.00-
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16
17
18 and 19
reflect figures that include the total of
ALL ,
,
returns assessed to date will
ASSESSMENT OF TAX: .
15. Amount of Line 14 at Spousal rate (15) .00 X 0 0 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) -~[] x 045 =
17. Amount of Line 14 at Sibling rate
(17)
0 0 X 12 = .00
. .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .00 X 15 = .00
19. Principal Tax Due
TAX CREDITS: (19)= .0 0
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" (CR), YOU MAY BE DUE`S
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.