HomeMy WebLinkAbout04-08-11TAX ennsylvania ~ mm.
NOTICE OF INHERITANCE
-,~ ,c PPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
~~~ a~' ~~x~~ ` '~.~C. OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP c12-lo)
BUREAU OF INDI~~„ J~,
INHERITANCE TAX DIV,Z. iB~+1 ~ ~!!I } C
PO BOX 280601 k-t~1~; .. ' ' ~ -.~..~J
HARRISBURG PA 17128-06001 04 - 04 - 20 1 1
_ DATE GLENN A
"''' ~ ~~~ -~ '' ~ ~ ~~ ~--'~ ESTATE OF SHUMAN
~-;`, ` ,.' ~, ~ • ~ 08-02-2010
DATE OF DEATH
CLER'~C ~~ FILE NUMBER 21 10-1054
COUNTY CUMBERLAND
Q~P~~~~~5 'v~_~ ACN 101
SCOT~I}~~~~:~~~~ ~ APPEAL DATE: 06-03-2011
6 WEST MAI N ST (See reverse side under Objections)
PO BOX 232
Amount Remitted
NEW BLOOMFIELD PA 17068
MAKE REGISTERA OFB WI L SD REMIT PAYMENT T0:
1 COURTHOUSE SQUARE
CARLISLE PA 17013
PORTION FOR YOUR RECORDS ~ ____
_ __
~ RETAIN LOWER ------ -'""
OR ___________
G_ THIS _LINE___________________________
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- EX AFP C12-10~ NOTICE OF
ASSES
NS AND
REV 1547 DISALLOWANCE OF DEDUCTIO TAX
OF
SMENT
DATE:
04-04-2011
GLENN AFILE N0.:21 10-1054
ACN: 101
ESTATE OF: SHUMAN
CCEPTED AS FILED C
) CHANGED
TAX RETURN WAS: C X) A
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
C1)
.0 0 NOTE: To ensure proper
t
1. Real Estate (Schedule A) C2) .0 0 credit
submit ,
to your accoun
the upper portion
2. Stocks and Bonds (Schedule B)
C3)
(Schedule C)
'0 of thi
s form with your
3. Closely Held Stock/Partnership Interest
C4) .0 0 tax pa yment.
Mortgages/Notes Receivable (Schedule D)
4 4,014.88
.
h/Bank Deposits/Misc. Personal Property (Schedule E) C6) ,0 0
5. Cas
6. Jointly Owned Property (Schedule F) C7) .0 0
7. Transfers (Schedule G) C8) 4,014.88
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: 3,449.24
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C1U) 115, 341.69
Debts/Mortgage Liabilities/Liens (Schedule I)
10 118,790.93
. C11) 114,776.05-
11. Total Deductions c12) .0 0
12. Net Value of Tax Return C13)
mental Bequests; Non-elected 9113 Trusts (Schedule J) C14)
114,7 7 6.0 5-
13. Charitable/Govern
14. Net Value of Estate Subject to Tax
14 1$
15 and/or 16, 17, and 19 will
,
lines
NOTE: If an assessment was issued previously,
f ALL ret
urns assessed to date
.
reflect figures that include the total o
ASSESSMENT OF TAX: c15) .00 X 00 = .00
00
15. Amount of Line 14 at Spousal rate C16)
t Lineal/Class A rate . p_0_ X 045 = .
0 0
16. Amount of Line 14 taxable a
c17) .~ 0 X 12 = ,
Amount of Line 14 at Sibling rate
17
.0 0 X 15 = . 00
.
f Line 14 taxable at Collateral/Class B rate C18) C19)= .0 0
18. Amount o
19. Principal Tax Due
TAX CREDITS : DISCOUNT C+) AMOUNT PAID
PAYMENT RECEIPT
INTEREST/PEN PAID C-)
DATE NUMBER
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
AFTER DATE INDICATED, SEE REVERSE IF TOTAL.DSEEIREVERSECSIDEAOFATHISEFORM FOR)INSORUCTIONS.DUE
* IF PAID A REFUND
FOR CALCULATION OF ADDITIONAL INTEREST.