HomeMy WebLinkAbout05-09-11BUREAU OR`~jI~'NI?IV'L'D1JAL` T1AX~'S ~'~
INHERITANCE TAX DIVISION ~,' ~ `.
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PO BOX 28060" ;:' •,_~_~
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX pennsylvan~a ~
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
OF DEDUCTIONS AND ASSESSMENT OF TAX. REV-1547 EX AFP (lz-lo)
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66 DEWALT DRIVE
MECHANICSBURG PA 17050-1723
DATE 04-25-2011
ESTATE OF KIEHL ELSIE S
DATE OF DEATH 08-09-2010
FILE NUMBER 21 11-0154
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 06-24-2011
(See reverse side under Objections
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE P,A 17013
CUT ALONG THIS LINE _ --~ R_ETA_IN LOWER POR_TION_FOR-YOUR_RECORDS- E'er ________
REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: KIEHL ELSIE SFILE N0.:21 11-0154 ACN: 101 DATE: ___________
04-25-2011
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .0 0 NOTE: T
0 0 credit o ensure proper
to your account,
2. Stocks and Bonds (Schedule B) C2) .
submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3)._.__ '0 0 of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4)__ .0 0 tax pay ment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) .0 0
(6) 17, 199.28
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G) (7)~_ .0 0
C8) 17 , 199 .28
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 34 0.04
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 1.6 3 2.4 6
C11) 1,972.50
11 . Total Deductions 15, 226.78
12. Net Value of Tax Return C12)
(13)
.0 0
Charitable/Governmental Bequests; Non-elected 9113 Trusts
13 (Schedule J)
. C14) 15, 226.78
14. Net Value of Estate Subject to Tax
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: p0
00 -
- .00
15. Amount of Line 14 at Spousal rate C15) ,
X
78 x 045 =
226
7 ~ 685.21
16. Amount of Line 14 taxable at Lineal/Class A rate C16) .
.
17. Amount of Line 14 at Sibling rate C17) _ .0 0 X 12 = .0 0
Amount of Line 14 taxable at Collateral/Class B rate C18)
18 .0 0 X 15 = .0 0
. (19)= 685.21
19. Principal Tax Due
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
02-07-2011 CD013985 .00 b85.21
TOTAL TAX PAYMENT 685.21
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTEI) AS A "CREDIT" (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.