HomeMy WebLinkAbout04-08-11NOTICE OF INHERITANCE TAX n ~ ~ "~
~~~{ r' `^` ~ F..~~ PRAISEMENT, ALLOWANCE OR DISALLOWANCE pEI1I1S~/LVG'~I1~a - ~ ~"
BUREAU OF INDI~~D~'A.L ~p.~~~ s ~~ ~ ~.
INHERITANCE TAX DIV ~ '- ~ ~ ~ ~ DEPARTMENT OF REVENUE
PO Box 280601 ~<~( ~ C~ OF DEDUCTIONS AND ASSESSMENT OF TAX
"- ` -- ; ~_.w,'.i REV-1547 IX AFP (12-10)
HARRISBURG PA 17128-0601
CLERK
O~~N,~,~~J' C~~.1~T
CONS~~G~``_~ ~ P~.
28 SOUTH ALYDAR BLVD
DILLSBURG PA 17019
DATE 03-28-2011
ESTATE OF MOTTER ROBERT P
DATE OF DEATH 09-10-2010
FILE NUMBER 21 10-0984
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 RECORDS F--~
_
_
_
REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: MOTTER ROBERT PFILE N0.:21 10-0984 ACN: 101 DAT
E: 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) .0 0
NOTE: To ensure proper
C2)
3. Closely Held Stock/Partnership Interest (Schedule C) (3) ,0 0
.0 0 credit to your account,
submit the upper portion
4. Mortgages/Notes Receivable (Schedule D)
C4)
00 of this form with your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) .
5,218.19 tax payment.
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G)
C7) .0 0
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: (8) 5.218 19
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 10 9 ; 7
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .0 0
11. Total Deductions
12. Net Value of Tax Return C11) 10, 923.73
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 5,7 0 5.5 4-
14. Net Value of Estate Subject to Tax (13? .0 0
C14) 5,705.54-
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16
17
reflect figures that include the total of ALL returns ,
,
and 19 will
ASSESSMENT OF TAX: assessed to d to
15. Amount of Line 14 at Spousal rate (15) 0 0
0 0 =
16. Amount of Line 14 taxable at Lineal/Class A rate C16) .
X .0 0
17. Amount of Line 14 at Sibling rate 00 x 045 = .00
(17)
18. Amount of Line 14 taxable at Collateral/Class B rate C18) 0 0 X 12 =
.0 0
15 -
•0 0
19. Principal Tax Due X
- .0 0
TAX CREDITS:
(19)=
. 00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR),
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.DUE