HomeMy WebLinkAbout04-27-11BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISI0~1S`~
PO BOX 280601
HARRISBURG PA 17128-0601
.y
_ ,` i C- 1
VV rr'' NOTICE OF INHERITANCE TAX pe1111S~/~Vdl11a ~
-AF'B'~AISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
~OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1x47 Ex AFP clz-lo)
~t~Pl-j~ry'~ Jam`^, ,T
(J F ~ ~,._ll,,
CYNTHIA PE~TRASIC~ ~(,~ FA,
86 HILLSIDE CIRCLE
CAMP HILL PA 17011
DATE 04-11-2011
ESTATE OF SOUTNER FRANCES
DATE OF DEATH 04•-29-2010
FILE NUMBER 21 11-0167
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 06-10-2011
(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 H _
-------------------- -------------------------------------
REV-1547 EX AFP (12-10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SOUTNER FRANCES FILE N0.:21 11-0167 ACN: 101 DATE: n4-11-~nII
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) CHANGEiD
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) DO
. NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) ~2) ,00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .0 0 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) 13, 709.80
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets
APP (8) 13,709.80
ROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Iq) 11.78 .4
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 1.957.65
11. Total Deductions Ill) 13,740.07
12. Net Value of Tax Return (12) 30.27-
13. Charitable/Governmental Bequ ests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax (14) 30.27-
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 (15) .UO X 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) .00 x 045 = .00
17. Amount of Line 14 at Sibling rate (17) d0
=
X 12 .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 - .00
19. Principal Tax Due C19)=
TAX C .0 0
REDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMDUNT PAID 1
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" (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.