HomeMy WebLinkAbout06-20-11BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
~'~n~~1-~~~~ r ALLOWANCE OR DISALLOWANCE
-~r ~ ,OAF ~E~Dw~~ , NS AND ASSESSMENT OF TAX
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C~.ERK of
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DWIGHT B REPLOGL~t~'d#~ ~'~~~ ~~~~ PA
PO BOX 1523
DELTA JUNCTION AK 17055
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DEPARTMENT OF REVENUE t
REV-1547 EX AFP C12-10)
DATE 06-13-2011
ESTATE OF REPL_OGLE EMILIE S
DATE OF DEATH 09-02-2010
FILE NUMBER 21 :LO-0927
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 08-12-2011
(See reverse side under Objections
Amount Remitted C
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
RETAIN-LOWER_PORTION_FOR
--~
THIS LINE
CUT ALONG _YOUR-RECORDS_ E~ __ _________________
REV-154 __
_
_
7 EX AFP C12-10? NOTICE OF INHERITAN
S ANDR ASSESSMENTAOFOTAXCE OR
CTION
DISALLOWANCE OF DEDU
EMILIE SFILE N0.:21 10-0927 ACN: 101 DATE: 06-13-2011
ESTATE OF: REPLOGLE
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED 0N: ORIGINAL RETURN
•0 0
NOTE: To ensure proper
1. Real Estate (Schedule A) C1) .0 0 credit to your account,
2.
Stocks and Bonds (Schedule B) C2)
0 0 submit the upper portion
3 Closely Held Stock/Partnership Interest (Schedule C) C3) .
00 of this form with your
t
. C4) • .
tax paymen
4. Mortgages/Notes Receivable (Schedule D) 11 , 60 6.00
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) ,0 0
6.
Jointly Owned Property (Schedule F) C6)
.0 0
7. Transfers (Schedule G) C7)
00
606
11
C8) .
.
8. Total Assets
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 0 0
10. Debts/Mortgage Liabilities/Liens (Schedule I)
C10) ,
7, 013.00
11. Total Deductions C11)
C12) 4,593.00
12.
13. Net Value of Tax Return
Charitable/Governmental Bequests; Non-elected 9113 Trusts
(Schedule J)
C13) .0 0
59 3.0 0
4
14.
Net Value of Estate Subject to Tax C14) ,
-
lines
If an assessment was issuedpreviouslY,
14, 15 and/'or
16, 17, 1B and 19 will
NOTE: fl ct figures that include the total of ALL returns assessed to date.
re e
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
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-)
03-18-2011 CD014156 .00
207.
TOTAL TAX PAYMENT 207.00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
C15) .00 X 00 = .00
C16) 4 , 593 _~ x 045 = 207.00
C17) . oo x 12 = . 00
C18) .00 X 15 = .00
C19)= 207.00
AMOUNT PAID
* 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.