HomeMy WebLinkAbout06-20-11r (tier'}Qr~;;-•'".. ~--~~ NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL ~~~': ~~.~.., ._~~~EMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ^'~~ ~` ;~~
Po Box 280601 ~._ .~~;,~;~~ ~., ~~DEDUCTIONS AND ASSESSMENT OF TAX
HARRISBURG PA 17128-0601 _ ~5; ~~J
OR H~ER~C Q~
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J O H N R E L L~~~~.~k~G~ ~~ , ~~
117 E MARKET ST
YORK PA 17406
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 IX AFP c12-10)
DATE 06-13-2011
ESTATE OF EMIG SR KENNETH G
DATE OF DEATH 01-06-2011
FILE NUMBER 21 11-0094
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: Og-12-2011
(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~ NOTICE OF INHERIT--------------"-----------------____ ______
DISALLOWANCE OF DEDUCTIONS ANDRASSESSME.NTAOFOTAXCE OR ----
ESTATE OF: EMIG SR KENNETH GFILE NO.:
21 11-0094 ACN: 1~1 DATE: 06-13-2011.
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B) C1? .0 0 NOTE: To ensure
C2) --- proper
3. Closely Held Stock/Partnership Interest (Schedule C) •0 0 credit to your account,
4. Mortgages/Notes Receivable (Schedule D) (3) .0 0 submit the upper portion
C4) of this form with your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) .0 0 tax payment.
6. Jointly Owned Property (Schedule F) C5) ~;0,896.36
7. Transfers (Schedule G) (6) .0 0
c7) 172, 684.75
8. Total Assets -~--.
APPROVED DEDUCTIONS AND EXEMPTIONS: c8) 203,581 11
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 4,17 7
10. Debts/Mortgage Liabilities/Liens (Schedule I) ---i
clo) 1 1
11 . Total Deductions -~ 76 • 16
12. Net Value of Tax Return C11) 5,299.09
13.
1 Charitable/Governmental Bequests; Non-elected 9113 Tru
t C12) 19 8,28 2.0 2
4. s
s
Net Value of Estate Subject to Tax (Schedule J)
C13) .0 0
NOTE: If an assessment was issued previousl c14) 198,282 02
y, lines
reflect figures that include the total of ALL
ASSESSMENT 14, 15 and/or 16
,
7
a and 19 will
OF TAX: returns assessed
to
d
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
DATE DISCOUNT (+)
NUMBER INTEREST/PEN PAID C-)
03-25-2011 CD014204
04-07-2011 CD014272 421.05
.00
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
c15) _00 x 00 = .00
c16) ~ 9~ ?S~ o~ x 045 =
c17) 8, 922.69
-'`~~ x 12 . 0 0
c18) __ x 15 = .00
c19)= 8, 922.69
AMOUNT F'AID
,,000.00
501.64
TOTAL TAX PAYMENT
-----. $ , 9 2 2. 6 9
BALANCE OF TAX DUE
.00
INTEREST AND PEN. .00
TOTAL DUE .00
IF TOTAL DUE IS REFLECTED A5; A "CREDIT" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OAF THIS FORM FOR INSTRUCTIONS.