HomeMy WebLinkAbout04-27-11r'r,.
BUREAU OF INDIVIDUAL-- TAXES
INHERITANCE TAX DIVISION-
PO BOX 280601
HARRISBURG PA 17128-0601
L_
',j~,% r NOTICE OF iNHERITANCE TAX
,,~PPRAISEMENT, ALLOWANCE OR DISALLOWANCE
-'~ OF DEDUCTIONS AND ASSESSMENT OF TAX
~ ~ ',! !^T
JOHN B c~AMPBELL
42 PRESIDENTS DR
MECHANICSBURG PA 17050
Pennsylvania ~~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-10)
DATE 04-18-2011
ESTATE OF CAMPBELL MARGARET M
DATE OF DEATH 12-28-2010
FILE NUMBER 21 11-0073
COUNTY CUMBERLAND
ACN 10:1
APPEAL DATE: 06-17-2011
(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
-------------------- ------------- E~
REV-15
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47 EX AFP C12-10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALL
OWANCE _
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: CAMPBELL MARGARET MFILE N0.:21 11-0073 ACN: 101 DATE: 04-18-2011
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) 00
2.
Stocks and Bonds (Schedule B) C2) .
,00 NOTE: To ensure proper
credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
4.
Mortgages/Notes Receivable (Schedule D) (4)
00 of this form with your
. tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) .00
6. Jointly Owned Property (Schedule F) ~6) 39,909.45
7. Transfers (Schedule G) (7) .00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: ca) _ _ 39,909.45
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) ~q)- 9,20 0 00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions (11) 9,200.00
12. Net Value of Tax Return X12) 30,709.45
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax (14) _ 30,709.45
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
ASSESS date.
MENT OF TAX:
15. Amount of Line 14 at Spousal rate (15) .00 X 0 0 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 30 . 709
4S x 045 =
. 1 , 381.93
17. Amount of Line 14 at Sibling rate (17) 00 X 12 =
18. Amount of
Line 14 taxable at
Collateral/Class B rate
C18)
.00 X 15 - .00
00
19. Principal Tax Due .
TAX CREDITS: ~ 19)= 1 , 381.93
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
02-10-2011 CD014007 69.10 1,312.84
TOTAL TAX PAYMENT 1,381.94
BALANCE OF TAX DUE .O1CR
INTEREST AND PEN. .00
TOTAL DUE .O1CR
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. Z