HomeMy WebLinkAbout06-20-11NOTICE OF INHERITANCE TAX en nS ~
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BUREAU OF INDIVIDUAL TAXES r'~ ti*',_, ., t_ ' ~M, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~4 ~~OF DE~~TIONS AND ASSESSMENT OF TAX `
PO BOX 280601 ~ ~;~ ,~ ;" , v ~„+.,~ REV-1547 EX AFP C12-10)
HARRISBURG PA 17128-0601
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KAEL E ROMINGERCif~M~E~iL~~~C~ ~;~„ ~A
155 S HANOVER ST
CARLISLE PA 17013
DATE 06-07-2011
ESTATE OF SMITH DEBRA K
DATE OF DEATH 10-04-2006
FILE NUMBER 21 08-0046
COUNTY CUMBERLAND
AGN 101
APPEAL. DATE: 08-06-2011
(See reverse side under Objections
Amount Remitl:ed
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHC)USE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE _ ~ R_ETA_IN LOWER POR
TION
FOR YOUR REC
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REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX _
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APPRAISEMENT
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OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT
OF TAX
ESTATE OF: SMITH DEBRA KFILE N0.:21 08-0046 ACN: 101 D
ATE: 06-07-2011
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B) (1)~_ .0 0
NOTE: To ensure proper
3. Closely Held Stock/Partnershi
I
t (2)__ .0 0 credit to your account,
p
n
erest (Schedule C) (3) .0 0 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D) _,__
(4)
0 0 of this form with your
~_ .
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5)
2,34 5.0 0 tax payment.
6. Jointly Owned Property (Schedule F) ~_
7. Transfers (Schedule G) (6)__ .0 0
C7) .0 0
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; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
(11) 6, 998.95
(12) 4, 653.95-
(13) . 00
(14) 4,653 95-
NOTE: If an assessment was issued previously,
1
reflect figures that include the total of
ALL 8 and
~ 19 will
ASSESSMENT OF TAX: returns assessed to da
te.
15. Amount of Line 14 at Spousal rate (15) 0 0 =
0 0
16. Amount of Line 14 taxable at Lineal/Class A rate (16) ~-' X .0 0
17. Amount of Line 14 at Sibling rate --~~ X 04 5 = .0 0
18. Amount of Line 14 taxable at Collateral/Class B
19. Principal
Tax Due ra te C18) .0 0
__ X
15 =
.00
TAX CREDITS: (19)= .00
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN.I .00
TOTAL DUE I .00
* IF PAID AFTER DATE
FOR CALCULATION OF INDICATED,
ADDITIONAL SEE REVERSE
INTEREST
IF TOTAL
DUE
IS REFLECTED AS
A "CREDIT"
(CR), YOU MAY BE D
.
A REFUND.
SEE
REVERSE SIDE: OF
THIS FORM UE
FOR INSTRUCTIONS.
(8) 2, 345 00
(9)__ 6 , 998 . 9~
(lo)_, .00