HomeMy WebLinkAbout04-08-11~~~~,~ ~~, ~., "„ k_~~ NOTICE OF INHERITANCE TAX Pennsylvania ;. ~ ~~'T
BUREAU OF INDIVIDU~ 1'A7CES`'' " - :~_~~~tAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISIO ;~ ~ ~ '' "' DEPARTMENT OF REVENUE
Po Box 2so6o1 ~`:. ~-.,: ~ . _., ; , ., •r,~'I 1 ~`OF DEDUCTIONS AND ASSESSMENT OF TAX
""~"''' REV-1547 EX AFP C12-10)
HARRISBURG PA 17128-0601
t y.
CLERK ~; ~
('+~Q~~N~,~J'~ C~~JRT
KURT A `B'L'~~1K~~-~~~~ ~%~ , FA,
29 E PHILA ST
YORK PA 17401
DATE 03-28-2011
ESTATE OF DOBRINOFF HELEN G
DATE OF DEATH 05-16-2008
FILE NUMBER 21 10-09b4
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 05-27-2011
(See reverse side under Objections
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE _~--~ --R_ETA_IN LOWER POR_TION
FOR YOUR
REV-1547 RECORDS ~
_
EX AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT
CE
A
O -------------'-
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT
OF
TAX OR
ESTATE OF: DOBRINOFF HELEN GFILE N0.:21 10-09b4 ACN
:
101
DATE: 03-28-2011
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
C1)
2. Stocks and Bonds (Schedule B)
•~ ~
NOTE: To ensure proper
C2)
3. Closely Held Stock/Partnership Inter
t ( •~ ~ credit to your account,
es
Schedule C)
C3)
4. Mortgages/Notes Receivable (Schedule D) .~ ~ submit the upper portion
of this form with your
C4)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) • ~ ~ tax payment .
(5)
6. Jointly Owned Property (Schedule F)
.00
(6)
7. Transfers (Schedule G) .0 0
(7) .00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: (8) .00
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
C9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) 0 ~
(lo) .00
11. Total Deductions
12. Net Value of Tax Return C11) .0 0
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Sched
l •0 0
u
e
14. Net Value of Estate Subject to Tax J) C13) •0 0
(14)
NOTE: If an assessment was issued previously,
1 . 00
reflect figures that include the total of
ALL ~
7~ 18 and 19 will
returns
ASSESSMENT OF TAX: assessed
to
d ate.
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate (16) '~ ~ X 0 0 = .0 0
17. Amount of Line 14 at Sibling rate ~~ X 045 = .00
C17)
18. Amount of Line 14 taxable at Collateral/Class B rate C18) nn x 12 =
0 0 .00
19. Principal Tax Due .
X 15 = .00
TAX CREDITS: (19)= .00
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.