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h{~!,.'_`,i','~~''; r~Y~~ e~TICE OF INHERITANCE TAX pennsy
~~~'~~'''`-'--'`' ~' ` `~'~ ENT,` ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE T
BUREAU OF INDIVIDUAL TAXE~~~.~~.~; . , .~,,,~~~~~.~UCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP clz-lo)
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601 ~ L ~ r,' ,., ~ ~ H )~ ..; ~,
Aoi~ ~ W~ ~ GJ ~ ~ i ~~,:• ~~ ~ DATE 06-07-2011
ESTATE OF ERB HAZEL
CLEE~K ~F DATE OF DEATH 10-06-2010
ORP~~S Ct~~IRT FILE NUMBER CUMBERLAND
CU~~~.~~~I..~~~~D ~C~., PA ACNNTY 101
JACQUELINE A KELLY pppEAL DATE: 08-06-2011
S T E 12 (See reverse side under Objections
845 SIR THOMAS CT
HBG PA 17109 Amount Remitted[
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
C__UT_ ALONG THIS LINE _ ~ _RETAIN_LOWER_POR_TION_-FOR-YOUR_RECORDS_ ~ ___________________
-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX APDRASSESSMENTAOFOTAXCE OR
REV DISALLOWANCE OF DEDUCTIONS AN
HAZEL FILE N0.:21 10-1128 ACN: 101 DATE: 06-07-2011
ESTATE OF: ERB
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN N0. O1
C1) .0 0 NOTE: To ensure proper
1. Real Estate (Schedule A) .0 0 credit to your account,
(2) submit the upper portion
2. Stocks and Bonds (Schedule B)
(3) '0 0 of this form with your
3. Closely Held Stock/Partnership Interest (Schedule C) .0 0 tax payment.
C4)
4. Mortgages/Notes Receivable (Schedule D) 7 , 522 , 12
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C6) .0 0
6. Jointly Owned Property (Schedule F) .0 0
C7)
7. Transfers (Schedule G) 7 , 522.12
C8)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: 345.OQ
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) ,0 0
(10)
10. Debts/Mortgage Liabilities/Liens (Schedule I) 34 5.0 0
C11)
11. Total Deductions C12) 7, 177.12
12. Net Value of Tax Return (13) .0 0
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C14? 2 8 5,3 9 7.0 9
14. Net Value of Estate Subject to Tax
lines 14, 15 and/or 16, 17, 18 and 19 will
NOTE: If an assessment was issued previously,
reflect figures that include the total of ALL returns assessed to date.
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 (+)
DATE NUMBER INTEREST/PEN PAID C-)
12-14-2010 CD013782 626.00
03-30-2011 CD014221 .00
.00 X 00 = .00
C15)
C16) 85 , 397 _ 09 x 045 = 12, 842.87
c17) . 00 x 12 = . 00
.00 X 15 = .00
C18)
c19)= 12,842.87
AMOUNT PAID
1,893.92
322.97
TOTAL TAX PAYMENT 12,842.89
BALANCE OF TAX DUE .02CR
INTEREST' AND PEN. .00
TOTAL DUE .02CR
* 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.