HomeMy WebLinkAbout06-20-11,~_,:
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
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CA A HOBBS ~rV~~~~,t..t~n`~~ ~~'' FA
REBEC
413 WASHIORTON BLPA 17701
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DEPARTMENT OF REVENUE
REV-1547 IX AFP C12-10)
DATE 06-13-2011 ETHEL A
BELL
ESTATE OF
DATE OF DEATH 06"04-2010
FILE NUMBER 21 10-0691
CUMBERLAND
COUNTY 101
ACN APPEAL DATE: 08-12-2011
(See reverse side under Objections )
Amount RemitteAaLE AND REMIT PAYMENT T0:
MAKE REG S R OF WILLS
1 COURTHOUPA S61~OR3
CARLISLE
NOTICE OF INHERITANCE TAX
r~, {.. ~_ LLOWANCE OR DINTLOFWTAXE
i~~_ ~ j ~ ~~~~ "Ng AND ASSESSME
t~lLiakk',~ ! X11 '..i~ ~ ; ,..a'J
YOUR RECORDS ~ -___------~----
~ RETAIN-LOWER_pOR_TION-FOR__ _ - -pLLOTAXCE OR
ALONG THIS_LINE-________CE ~F-INHERITANCE TONS pNDR ASSESSMENT OF DATE: 06-13-2011
CUT ____ C12_10~ NOTI 101
DISALLOWANCE OF DEDUCTI 0691 ACN:
REV-1547 EX AFP
ETHEL AFILE N0.:21 10-
OF : BELL ( ) ACCEPTED AS FILED c ) CHANGED
ESTATE
TAX RETURN WAS: X 0 0 NOTE: To ensure proper
ORIGINAL RETURN 151,500.
UE OF RETURN BASED ON: cl) •00 credit to vour account,
V AL submit the upper portion
pppRAISED c2)_~- • 00 with vour
of this form
1, Real Estate (Schedule A C3)~ •~ 0 tax pavment.
2, Stocks and Bonds (Schedule B) c4)
1 Held Stock/Partnership Intere D) (Schedule C) 160 , 106.12
3. Close v C5) .00
4, Mortgages/Notes ReceivablPe~so al Property cSchedule E)
c6)~-- 54,760.56
g. Cash/Bank Deposits/Mist (Schedule F) c7) 366.68
Owned Property c8) 3 6 6
6, Jointly
7. Transfers (Schedule G)
34,AIA.82
8. Total Assets EXEMPTIONS
Expenses (Schedule H) c9) 295 • 97
APPROVED DEDUCTIONS AND Costs/Misc. clo) - 35,112.79
9. Funeral Expenses/Adm. cSchedule I) (11)
331,253.89
10. Debts/Mortgage Liabilities/Liens C12) ,0 0
C13)
11 . Total Deductions 331 253 • 89
Non-elected 9113 Trusts (Schedule J)
Value of Tax Return C14)
12. Net 19 Will
13. Charitable/Governmental Be4uests; 16, 17 , 18 and
lines 14, 15 and/or date.
14. Net Value of Estate Subject to ax
the total of ALL returns assessed tO _ ,00
an assessment was issueaereviouslY~ -
NOTE. If ures that inclu .00 x 00 - .00
reflect fig c15) ~ X 045 =
ASSESSMENT OF TAX: c16) 30,779.20
Line 14 at Spousal rate rate 7r.,6 49_~i~- X 12
15. Amount of cll)~- 15 _ 11 , 214 .08
16. Amount of Line 14 taxabbling rateal/Class .74, 760 .56 X 9)= 41 , 993.28
at Si rate cli) cl
17. Amount of Line 14
mount of Line 14 taxable at Collateral/Class B
18• A
19. Principal Tax Due
AMOUNT PAID
DISCOUNT c+)
TAX CREDITS : RECEIPT
PAYMENT NUMBER INTEREST/PEN PAID c-)
DATE 05 PAYMENTS 48 ,152.84
*** SUMMARY 0 ALL 2,099,66
02-28-2011
* IF PAID AFTER DAT F ADDITIONAL INTERESTRSE
~nR CALCULATION O
'CREDIT" cCR), YOU MAY BE
IF TOTAL DUE IS REFLECTED AS A
D, SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTION
A REFUN ~~_
50,252.50
TOTAL TAX PAYMENT 8~259•22C
BALANCE OF TAX DUE ,00
INTEREST AND PEN. 8~259•22C
TOTAL DUE