HomeMy WebLinkAbout04-08-11BUREAU OF INDIVIDUAL t"r,~{~~' '~. -~l.R NOTICE OF INHERITANCE TAX
INHERITANCE TAX ~~~ ` J i EMENr,
PO BOX 280601 DIVISION ALLOWANCE OR DISALLOWq Penns (~/a ~ ` ^
HARRISBURG PA 1712s-o6o1 ~~` '- ~~~"' ,"!rr EDUCTIONS AND ASSESSME NCE C~ ~.~ ~
~ ~ ~.
. u r~ ~ ~ NT OF rax DEPARTMENT OF REVENUE ~ ~
L.~
,,. _ REV-1547 p( AFP (12-10)
~~)~3
~`I`" E 03-28-
ESTATE pF 2011
Q~~'~L~~~~ ~ DATE OF DEATH 08 R02 H MARGARET R
` 2010
JANICE V ~~r~'~~`~~ ~Lt~T FILE NUMBER 21 11-006
887 KING S7- ~'`~' ~~, ~'A COUNTY 5
ACN CUMBERLAND
LEWISBERRY 101
PA 17339 APPEAL DATE:
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMEN
REGISTER OF WILLS T ro:
1 COURTHOUSE S
CUT_ALONG THIS LINE CARLISLE DUARE
REV-1547---------------- y PA 17013
EX AFP C12-10~ ___RETAIN_LOWER POR_TION__FOR
NOTICE OF INHERITANCE TAX --- YOUR RECO_RDS_
ESTATE OF; DISALLOWANCE OF APPRAISEMENT -
ULRICH DEDUCTIONS AND ASSESSMENTAOFOTAXCE OR --
MARGARET RFILE Np „ -'-----_
TAX RETURN WqS : 21 11 - 0 0 65 ACN :
APPRAISED VALUE OF ~X) ACCEPTED AS FILED 101 DATE: 03-28_2011
1 • Real Estate BSc Rdu eRA) BASED ON: ORIGINAL RETURN ~ ) CHANGED
2• Stocks and Bonds
(Schedule B) C1)
3• Closely Held Stock/Partnershi •0 0
C2) NOTE: To ensure proper
4• Mortgages/Notes p Interest (Schedule •0 0 credit
Receivable (Schedule D) C) C3) to Your account,
5• Cash/Bank De .0 0 submit the upper
Posits/Misc. Personal pro C4) of this Portion
6• Jointly Owned pro petty (Schedule •0 0 form with your
petty (Schedule F) E) C5) tax payment.
~• Transfers (Schedule G) •0 0
C6) 3, 286.23
8• Total Assets
APPROVED DEDUCTIONS ~~) •00
9. Funeral Ex enses/Ad D EXEMPTIONS:
p costs/Misc. C8) 3 286.23
10. Debts/Mort Expenses (Schedule H)
gage Liabilities/Liens (Schedule I) C9)
11. Total Deductions C10)
12. Net Value of Tax Return .0 0
13. Charitable/Governmental
Bequests• C11) • 00
14. Net Value of Estate ~ Non-elected 9113
Subject to Tax Trusts (Schedule J) C12) 3, 286 • 23
N07E: If an assessment C13)
was issued •00
reflect previously, C14) 3 286.23
ASSESSMENT figures that include lines 14, 15 and/or
OF TAX: the total of ALL returns 16' 17. 18 and
15. Amount of Line 14 assessed 19 will
16. Amount of at Spousal rate to date.
Line 14 taxable at C15)
17• Amount of Lineal/Class A rate •~ 0 X 0 0
Line 14 at Siblin C16) _
18• Amount of g rate X 045 = • 00
Line 14 taxable at Collateral/Class C17) _ •0 0
19. Principal Tax Due X 12
TAX CREDITS: B rate ~lg) _ .00
3,286.23 X 15
PAYMENT 492.93
DATE RECEIPT C19)=
DrscouNT C+) 492.93
O1 - 14 _ NUMBER INTEREST/PEN PAID C-)
2011 CD013895 AMOUNT PAID
.00
492.93
* IF PAID AFTER DATE INDICATED,
FOR CALCULATION OF ADDITIONAL INTERESTRSE
TOTAL TAX PAYMENT
BALANCE OF TAX DUE 492'93
INTEREST AND pEN• •00
TOTAL DUE •00
IF TOTAL DUE IS • 00
A REFUND. REFLECTED AS A "CREDIT'
SEE REVERSE SIDE OF THIS FORM FOR)INSTRUCTIONS•DUE