HomeMy WebLinkAbout05-09-11NOTICE OF INHERITANCE TAX pennsylvan~a <<~~ ~
A
BUREAU OF INDIVIDUAL TAXE~~ _{'PRA1~Et~'~NT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX Drv1s1DN ~ - OF ~DEIMICTIONS AND ASSESSMENT OF TA:X REV-1547 EX AFP (lz-lo)
PO BOX 280601 ' "`
HARRISBURG PA 17128-0601
~..~:` i ,,- ~~ DATE 05-02-2011
t / k I
ESTATE OF GLOUSER PEARL J
.__,,, ,., ,- DATE OF DEATH 0 3 -19 - 2010
,~„_, i-' ~`, ,i-,T FILE NUMBER 2'1 10-1127
` COUNTY CUMBERLAND
DAVID L STYER ~S'Q ~ `~'~ ACN 101
10 PEPPERELL DR APPEAL DATE: 07-01-2011
L A N G H O R N E P A 19 0 5 3 (See reverse side under Objections )
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF~ WILLS
1 COURTHOUS-E SQUARE
CARLISLE F'A 17013
CUT ALONG THIS LINE --) __RETAIN LOWER PORTION FOR YOUR RECORDS ~
------------------------ -------------------------------------------
REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: CLOUSER PEARL JFILE N0.:21 10-1127 ACN: 101 ______________
---
OR
DATE: 05-02-2011
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) .0 0 NOTE: To ensure proper
(2) .0 0 credit to your account,
2. Stocks and Bonds (Schedule B) 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 payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 5,0 5 0.2 6
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) (7) .0 0
(8) 5, 050.26
8. Total Assets
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 13.819..9 7
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .0 0
C11) 13,819.97
11. Total Deductions 8, 769 . 71 -
12. Net Value of Tax Return C12)
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax (14) 8, 769 . 71 -
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.
ASSESS MENT OF TAX:
15. Amount of Line 14 at Spousal rate (15) .0 0 X 0 0 = .0 0
16. Amount of Line 14 taxable at Lineal/Class A rate C16) .0 0 X 04 5 = .0 0
17. Amount of Line 14 at Sibling rate (17) .0 0 X 12 = .0 0
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 = .0 0
19. Principal Tax Due (19 )= .0 0
TAY f D CTITTC.
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNI' 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
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.