HomeMy WebLinkAbout07-15-11BUREAU OF INDIVIDUAL raxES ~F~~;-• NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISIDN #~ .~I~N,~,~MLLOWANCE OR DISALLOWANCE
Po Box 2BO6o1 pf `~ PF fl~DUE~ I NS
HARRISBURG PA nl2s-o6o1 L ~`Q AND ASSESSMENT OF TAX
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`~• DATE 07-12-2011
ESTATE OF SHIELDS
~iLE~rt Q~ DATE OF DEATHS 04-16- ANNA V
°~~`'~0(JFT FILE 2010
~RpHhi'+! •,; v i NUMBER 21 10 - 0520
EDMUND G MYERS C,(~~y,A-y~~j .;~a n
301 MARKET ST ~`~~ ~'~ PA, COUNTY CUMBERLAND
ACN 101
PO BOX 109 APPEAL DATE:
LEMOYNE 09-10-2011
PA 17043 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAy'ABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SC}UARE
CUT ALONG THIS LINE CARLISLE PA 17013
~ RETAIN LOWER PORTION_ FOR_YOUR RECORDS (~.
REV-1547 EX AFP (12-10) NOTICE OF INHERITANCE TAX APP ________
ESTATE OF: DISALLOWANCE OF DEDUCTIONS ANDRASSESSMEWTAOFOTANCE OR
SHIELDS ANNA
VFILE N0.:21 10-0520 AX
TAX RETURN WAS: ( 'ACN' 101 DATE:
APPRAISED V X) ACCEPTED AS FILED 07-12-2011
ALUE OF RETURN BASED ON: ORIGINAL [ ) CH/1NGED
1. Real Estai:e (Schedule A) RETURN
2• Stocks and Bonds [Schedule B)
3• Closely Held Stock/Partnership Interest (Schedule C)
4• Mortgages/Notes Receivable (Schedule D)
5• Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6• Jointly Owned Property (Schedule F)
7. Transfers [Schedule G)
B. Total gsset:s
APPROVED DEDUCTIONS AND EXEMPTIONS:
9• Funeral Expenses/qdm• 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
14. Net Value of` Estate Subject to Tax
NOTE: If an assessment was issued previously,
reflect figures that include the total
ASSESSMENT OF TAX:
15, gmount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17• Amount of Line 14 at Sibling rate
1B• Amount of Lime 14 taxable at Collateral/Class B
19. Principal Tax Due
TAX CREDITS:
PAVMFUT
pennsyLvania _ ;
i
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-10) ~-~~-~~~
NDTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
[$) 4 375.32
[l0)-1761.90
[11) 52,427.87
[12) 48, 052.55-
[Schedule J)
[13) . 00
c14) 48 052.55-
lines 14, 15 and/or 16, 17, 18 and
of ALL returns assessed to 19 will
date.
[ls) .00
[16) X
'~ X
[17)
~ X
rate [lg) 00
.
X
rtt~tIPT
DATE NUMBER DISCOUNT [+)
INTEREST/PEN PAID [_) AMOUNT pql~)
* IF PgID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
00 =
.00
045 =
.00
12 =
.00
15 =
• 00
[19)=
.00
TOTAL TAX PA`fMENT
IF TOTAL DUE IS REFLECTED AS A •0 0
A REFUND. SEE REVERSE SIDE OF THISEFDRM FDR)INSTRUCTION,
UE
BALANCE OF TAX DUE •00
INTEREST AND pEN• •00
TOTAL DUE •00