HomeMy WebLinkAbout07-15-11CE TAX Pennsylvania ~ i
F INHERITAN
r4~~~-l~rr~~~j~~~v11LLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENU
REV-1547 EX AFP C12-10)
j ktF''~_p~D,UG~~I~~NS AND ASSESSMENT OF TAX
BUREAU OF INDIVIDUAL TAXES ' ~`'~,.,
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601 - 07 - 12 - 2011
-;, r 't '" "' ~ 5 ~ ,~ i 1: l.• s DATE
Y°`"' '~`'~" FREESTONE GEORGE D
ESTATE OF
DATE OF DEATH 05-15-2010
C~E~,~ rf" 2 ]. 10 - 1015
OrcPH.A1~1'S c~C)U~T FILE NUMBER
ni a,~ n COUNTY CUMBERLAND
CU"~I'~~rj,.~„~:1. ~, ; , FA: ACN 101
EDMUND G MYERS APPEAL DATE: 09-10-2011
301 MARKET ST (See reverse side under 06jections)
PO BOX 109 Amount Remitted
LEMOYNE PA 17043
MAKE REGISTERA OF WI A SD REMIT PAYMENT T
1 COURTHOUSE SQUARE
CARLISLE P'A 17013
CUT ALONG THIS LINE-_____' 1 __RETAIN-LOWER PORTION FOR YOUR RECORD
ALLOWANCE OR
REV-1547 EX AFP (12-10~DISALLOWANCENOFRDEDUCTIONS ANDRASSESSMENT OF TAX DATE: 07-12-2011
GEORGE DFILE N0.:21 10-1015 ACN: 101
ESTATE OF: FREESTONE
Tnv aFTURN WAS: (X) ACCEPTED AS FILED C ) CH~4NGED
ORIGINAL RETURN
APPRAISED VALUE OF RETURN BASED ON:
1. Real Estate (Schedule A)
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)
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
~$) 1,320,106.49
g. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: 36~_
F eral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 4,341.54
clo) _-
9, un
Liabilities/Liens (Schedule I)
40,374.70
10. Debts/Mortgage X11)
1, 279,731.79
Total Deductions
11 c12) 10,000.00
.
12. Net Value of Tax Return
Non-elected 9113 Tru C13)
sts (Schedule J
1 ,
269 , 731.79
13. Charitable/Governmental Bequests; (14)
14. Net Value of Estate Subject to Tax
'
'
jn
l
and 19 wil
If an assessment was issued previous la ' d at
to
assessed
re'turns
ALL
of
OTE:
N
that include the tot
reflect figures 00 x 00 = .00
ASSESSMENT OF TAX:
f Line 14 at Spousal rate ,
c15)
~ 7~9 7~_7 _ 79 x 045 =
16) 57,137.93
15. Amount o
Line 14 taxable at Lineal/Class A rate X
_
,00 X 12 = .00
16. Amount of C17) 00
17. Amount of Line 14 at Sibling rate
Collateral/Class B rate .00 X 15 =
C1
c19)= .
57,137.93
lg. Amount of Line 14 taxable at
19. Principal Tax Due
TAX CREDITS: DISCOUNT (+) AMOUNT PAID
PAYMENT RECEIPT
NUMBER INTEREST/PEN PAID ~-)
50,000.00
DATE 2,631,5$
CD013772 00
4,506.35
12-10-2010
CD014365
04-26-2011
TOTAL TAX PAYMENT 57,137.93
BALANCE OF TAX DUE .00
C1) -~~
1'91,189
c2) .00
c3) , 00
(4) -
724 , 821 .88
c5)
C6) -~-~
4.04,0 72
I7)
.00
INTEREST AND PEN.
.00
TOTAL DUE
AF REFUND.DSEEIREVERSIECSIDEAOFATHISEFORM FOR)INSOTRUCTIONS.D~
~ IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.