HomeMy WebLinkAbout06-20-11NOTICE OF INHERITANCE TAX Pennsylvania ~ ~~ .'
~ ~$,~LLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ~~.. ~ ~~
INHERITANCE TAX DIVISION ~ ' " ~`Op ~" I S AND ASSESSMENT OF TAX
,'~ ~ ~ ~ REV-1547 IX AFP C12-10)
PO BOX 280601 + : ~ ;'' '' a °~
HARRISBURG PA 17128-0601 ~~'^-' ~ ~-"+ ^ '*-'~ a ~'..;,,',J
'~tri ~ ~V~ ~~ ~+~ ~~,' ~.6..~ DATE 06-13-2011
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ESTATE OF SHOMPER LEE A
DATE OF DEATH 10-29-2008
~i~E~K ~F FILE NUMBER 21 08-1197
DONNIE N SHAMPER 0~~~'S v~~~T COUNTY CUMBERLAND
C~~~~~~~~~ ~~., ~1~, ACN 101
APT A5 APPEAL DATE: 08-12-2011
8 6 0 WA L N U T S T (See reverse side under Objections )
LEMOYNE PA 17043 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ____ -~ R_ETA_IN LOWER PDR_TION_ FOR YOUR RECORDS E--
REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE 0F: SHOMPER LEE AFILE N0.:21 08-1197 ACN: 101 _ ________
OR
DATE: 06-13-2011
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .0 0 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) ,Q 0 credit to your account.
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .0 0 submit the upper porti~
4.
Mortgages/Notes Receivable (Schedule D)
(4)
.0 0 of this form with your
tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 31,800.00
6. Jointly Owned Property (Schedule F) C6) .0 0
7. Transfers (Schedule G) C7) .0 0
8. Total Assets (8) _ 31,800.00
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) .0 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .0 0
11. Total Deductions C11) .0 0
12. Net Value of Tax Return C12) 31,800.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax C14) 31,800.00
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) 31,800.00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) _0 0 x 04 5 = .0 0
17. Amount of Line 14 at Sibling rate (17) _0 0 X 12 = .0 0
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 = .0 0
19. Principal Tax Due C19) = .0 0
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
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.