HomeMy WebLinkAbout05-09-11NOTICE OF INHERITANCE TAX
~-r'' ~MENT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL t~z~ES -~ ~1.;'~`DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION ~._.
PO BOX 280601 - - - - ~ ~ ~'
HARRISBURG PA 17128-0601 •~...~~
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THOMAS A ~~~~ ~ ~ (~i-l ~H
2303 MARKET STREET
CAMP HILL PA 17011
cl) .00
c2) .00
c3) . 0 0
c4) .00
c5) 500.00
c6) .00
c7) .00
CUT ALONG THIS LINE _ ~ R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS ~ _ _______________
REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: HODGES MARIANNE MFILE N0.:21 11-0248 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)
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 (12-10) ~
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
~$) 500.00
c9) .00
clo) .00
11. Total Deductions C11) .0 0
X12) 500.00
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
tate Subject to Tax
f E
t V
l
N (14) 500.00
14. s
ue o
a
e
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:
15. Amount of Line 14 at Spousal rate C15) 5100.00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) _o o X 0 4 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 (18) .0 0 X 15 = .0 0
19. Principal Tax Due (19)= .0 0
TAY f_R FTl T TS
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT' PAID
DATE 04-25-2011
ESTATE OF HODGES MARIANNE M
DATE OF DEATH 1.0-25-2010
FILE NUMBER c'1 11-0248
COUNTY CUMBERLAND
ACN ].O1
APPEAL DATE: 06-24-2011
(See reverse side under Objections )
Amount Remitted-
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF= WILLS
1 COURTHOU'.>E SQUARE
CARLISLE F'A 17013
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 REFLECTEI) AS A "CREDIT" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~,}~
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