HomeMy WebLinkAbout04-27-11rr'^ ,,_ ._ __ ~,~ ^t NOTICE OF INHERITANCE TAX Pennsylvania
~~
_ ~ ;'~-~~'RAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE ~:
BUREAU OF INDIVIDU~Ak, TAX@S ,',,.:~ OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (12-10)
INHERITANCE TAX DIVISI~ ., ,_ '
PO BOX 280601
HARRISBURG PA 17128-0601
"'' "~ ~ ~ ~ ~ - ~ DATE 04-18-2011
OF BREIGHNER MAYBELLE B
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MICHAEL L BANGS
429 S 18TH ST
CAMP HILL PA 17011
ESTATE
DATE OF DEATH 09-02-2010
FILE NUMBER 21 10-0980
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 06-17-2011
(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 --~ RETAIN LOWER PORTION_ FOR YOUR RECORDS ~ _ _______________
REV-1547 EX AFP C12-10)
N S ANDRASSESSMENTAOFOTAXCE
R OR
DISALLOWANCE DEDUCTION
OF
GHNER MAYBELLE BFILE N0.:21 10-0980 ACN: 101 DATE: 04-18-2011
ESTATE OF: BREI
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
•~~
NOTE: To ensure proper
1. Real Estate (Schedule A) C1) •00 credit to your account,
2. Stocks and Bonds (Schedule B) C2)
00 submit the upper portion
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)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests;
14. Net Value of Estate Subject to Tax
(3)
c4) .00
C5) 22,649.92
C6) 13,339.20
c7) 68,435.47
of this form with your
tax payment.
~$) 104.424.59
C9) 6.173.57_
clo) 519.39
Non-elected 9113 Trusts (Schedule J)
NOTE: If an assessment was issued previously,
reflect figures that include the total
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns assessed to date.
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C-)
12-02-2010 CD013732 710.53
02-08-2011 CD013996 .00
C15) .00 X
C16) .00 X
cln -no x
C18) 97,731.63 X
AMOUNT PAID
cll) 6,692.96
C12) 97,731.63
C13) .00
C14) 97,731.63
00 = .00
045 = .00
12 = .00
15 = 14,659.74
C19)= 14,659.74
,500.00
449.21
TOTAL TAX PAYMENT 14,659.74
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.