HomeMy WebLinkAbout05-09-11NOTICE OF INHERITANCE TAX
~~ r :'' ~ pI~1~AEMENT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TA~X'E'$
INHERITANCE rAX Drv1s1oN ~ yplF ~pEDUCTIONS AND ASSESSMENT OF TAx:
PO BOX 280601 ~' _ '•- ~-'J
HARRISBURG PA 17128-0601
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SUITE 200
4b60 TRINDLE RD
CAMP HILL PA 17011
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C5) 28 , 433.55
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C7) .00
CUT ALONG THIS LINE _ ~ __RETA_IN LOWER POR_TION__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: KELLER DOROTHY MFILE N0.:21 10-0423 ACN: 1.01 DATE: 04-25-2011
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
pennsylvania'~ ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-10)
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
C8) 28,433.55
C9) 8 , 981 .20
Clo) 17,755.63
C11) 26,736.83
11 . Total Deductions 1 , 696 .72
12. Net Value of Tax Return C12)
0 0
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .
C14) 1 , 696 .72
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:
0 0 =
0 0 .00
15. Amount of Line 14 at Spousal rate C15) .
X
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 1 .696.72 x 045 = 76.35
17. Amount of Line 14 at Sibling rate C17) . ~0 X 12 • 00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 = .0 0
C19)= 76.35
19.
t~v nn Principal Tax Due
rTT TI+_
^" PAYMENT.
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
02-22-2011 CD014052 .00 76.35
04-18-2011 SBADJUST .00 2.40
DATE 04-25-2011
ESTATE OF KELLER DOROTHY M
DATE OF DEATH O.T-29-2009
FILE NUMBER 2:L 10-0423
COUNTY CIJMBERLAND
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
TOTAL TAX PAYMENT 76.35
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" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.