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HomeMy WebLinkAbout04-27-11F ~~ ~~{'i ;=' ~. ~,~!'" NOTICE OF INHERITANCE TAX Pennsylvania A~'P,RAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE ~~9CE~S BUREAU OF INDIVIDUA~ ~` L _:.:~ INHERITANCE TAX DIVISION 0!F DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (12-10) PO BOX 280601 HARRISBURG PA 17128-0601 ~ - '" DATE 04-18-2011 ESTATE OF COURY MARY K _ ~~ E'~ ! ~ r'r - ' ~ : ^ DATE OF DEATH 10-21-2010 n ~; ~ i Q~~F'~ ~ r 21 10 1147 y l ~~ - FILE NUMBER ' C~~~`~''~'- ~- "~" COUNTY CUMBERLAND GREGORY M KERWIN ACN 101 4245 RTE 209 APPEAL DATE: 06-17-2011 ELIZABETH TOWN PA 17022 (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 POR ------------------------------------ TION FOR YOUR RECORDS ~ --------------------------------------------- ---------- REV-1547 EX AFP (12-10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTI ONS AND ASSESSMENT OF TAX ESTATE OF: COURY MARY KFILE N0.:21 10-1147 ACN: 101 DATE: 04-18-2011 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) C1) •0 0 NOTE: To ensure proper 2. Stocks and Bonds [Schedule B) C2) ,00 credit to your account, 00 submit the upper portion 3. Closely Held Stock/Partnership Interest [Schedule . C) C3) of this form with your 4. Mortgages/Notes Receivable (Schedule D) C4) •0 0 tax payment. 5. Cash/Bank Deposits/Misc. Personal Property [Sched ule E) (5) .00 6. Jointly Owned Property (Schedule F) (6) .0 0 7. Transfers (Schedule G) (7) .00 8. Total Assets C8) .00 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses [Schedule H) C9) .00 10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .00 11. Total Deductions C11) .00 12. Net Value of Tax Return C12) .00 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00 14. Net Value of Estate Subject to Tax (14) .00 NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate C15) .00 X 0 0 = .00 16. Amount of Line 14 taxable at Lineal/Class A rate (16) .00 x 04 5 = .00 17. Amount of Line 14 at Sibling rate C17) -0 0 X 12 = .00 18. Amount of Line 14 taxable at Collateral/Class B rate (18) ,00 X 15 = .00 19. Principal Tax Due C19)= .0 0 TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) TOTAL TAX PAYMENT .00 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" CCR), YOU MAY BE DUE FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.