HomeMy WebLinkAbout07-15-11BUREAU OF INDIVIDUAL TAXES ~FI~"~,~~~~'R?71~2's,~~Vi' E OF INHERITANCE TAX
INHERITANCE TAX DIVISION f :~, _ ALLOWANCE 0
Po Box zeo6ol ~ 0 r-DE R DISALLOWANCE
HARRISBURG PA lnzs-o6o1 ~~~'"- ' ~ ' ~`- •,-?pN~TIONS AND ASSESSMENT OF TAX
~~ I ..itlL I J ~ I; ~[~ U
CLERK OF
LAWRENCE M MIL ORPHAN ~~ ~URT
197 GREEN HILL~RE~i'~~di ~,(1 pA'
NEWVILI_E PA 17241
pennsy(vania ~, ~ ~~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-10)
I1)~ ~-- ~
c2) 6'26
C3) - ~
C4) --~
cs) ~?~I, 7~1
(6)~~ --0
c7)~ 67, 641
CUT ALONG THIS LINE CARLISLE PA 17013
REV-1547 EX AFP (12-10) NO CEROFAINHERITANCERTAXNAPPR-YOUR RECORDS_
ESTATE OF: RAISEMENT,. ALLOWANCE OR ---
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF T~
MILLER VERA
BFILE N0.:21 10-0774
TAX RETURN WqS: t ACN: 101 DATE:
APPRAISED X) ACCEPTED AS FILED 07-12-2011
VALUE OF RETURN BASED ON: ORIGINAL RETURN ~ ) cNA,NGED
1• Real Estate (Schedule q)
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 Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens CSrhea,.,_ .
11
12
13
14
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
cs) 98 052.08
Total Deductions (10)- 64-•
Net Value of Tax Return
Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchedulo i~
Net Value of Estate Subject tr, r.,..
^ult: If an assessment was issued previously,
reflect figures that include the total
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17• Amount of Line 14 at Sibling r t
DATE 07-12-2011
ESTATE OF MILLER
DATE OF DEATH 07-27-2010 VERA B
FILE NUMBER 21 10-0774
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: p9-10_2011
(See reveese side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns assessed to date.
1B• Amount of a e
Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
PAYMENT
RECEIPT
DATE NUMBER DISCOUNT (+)
10-2(-2010 INTEREST/PEN PAID (_)
CD013556
cis) DO X
(16)_
R7 ~~ ~ X
C17)
L(L x
cis) .00 X
AMOUNT PA II)
cil) 10,697.29
c12) 87, 35-
(13) . 00
c14) 87 354
00 =
.00
045 = 3,930.97
12 =
.00
15 =
.00
c19)= 3, 930.97
,100.0
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX PA`fMENT
BALANCE OF TAX DUE 4'296.55
INTEREST AND pEN, 365.58CR
TOTAL DUE •00
365.58CR
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE D
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.