HomeMy WebLinkAbout07-15-11„_ ...; _ TANCE TAX Pennsylvania ~ i
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pepPRAI,$;EM~«. ~" ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-10)
BUREAU OF INDIVIDUAL TAXES ~~ ~ 'pf DEDU'~ IONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601 : j f `II E+ + ~ i I ~~~~. ~; i 07 _ 12 _ 2011
- IUL• DATE LOUISE S
ESTATE OF HART
CLE~sK OF DATE OF DEATH 10-04-2010
Q~~yA~i~J C~JPT FILE NUMBER 21 10-1144
a ~. r, ,, ,.-. CUMBERLAND
CfJIVi~'t~1~ ?-~ L1 1 ' .~r1 , PA. COUNTY
ACN 1 CI 1
ROBERT P KLINE APPEAL DATE: 09-10-2011
714 B R I D G E ST ( See reverse side under Objections
PO BOX 461 Amount Remitted)
NEW CUMBERLAND PA 17070
MAKE REG STERA OFB~ WI A gD REMIT PAYMENT T
1 COURTHOUSE SQUARE
CARLISLE PA 17013
_ __ ---------------
CUT ALONG THIS LINE_____ ~ __RETAIN-LOWER-PORTION FOR YOUR_RECI)RDS_________
---- " ----~- ALLOWANCE OR
REV-1547 EX AFP C12-lO~DISALLOWANCENOFRDEDUCTIONS ANDRASSESSMENT OF TAX DATE: 07-12-2011
LOUISE SFILE N0.:21 10-1144 ACN: 101
ESTATE OF: HART X ~ ) CHANGED
TAX RETURN WAS: C ) ACCEPTED AS FILED
ORIGINAL RETURN
C1) SOD NOTE: To ensure proper
APPRAISED VALUE OF RETURN BASED ON: 00 credit to your account,
1. Real Estate [Schedule A) C2) ---~0 submit the upper portion
2. Stocks and Bonds (Schedule B) C3) ~_ of this form with your
C4) .00 tax payment.
3. Closely Held Stock/Partnership Interest (Schedule C
4. Mortgages/Notes Receivable [Schedule D) C5) 6,70054
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C6) -~-'
6. Jointly Owned Property (Schedule F) C7) ~~-~
7. Transfers [Schedule G) C8) 6,7 00.54
g. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: 9 084.43
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C10j 32~ 85 74
10. Debts/Mortgage Liabilities/Liens (Schedule I) C11) 4 1,97 0.17
c12) 35,269.63-
11. Total Deductions .00
12. Net Value of Tax Return (13)
c14) 35,269.63-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J
14. Net Value of Estate Subject to Tax
NOTE: If an assessment was issued previo otal' of ALL lre'turns nassessed~ to 'd to and 19 wil
reflect figures that include the t -- 00 .00
ASSESSMENT OF TAX: C15) .00 x =
x 045 = .00
15. Amount of Line 14 at Spousal rate C16) --.~'~- , 00
16. Amount of Line 14 taxable at Lineal/Class A rate (17) -00 X 12 - ,00
17. Amount of Line 14 at Sibling rate .00 X 15 =
c19)= .00
18. Amount of Line 14 taxable at Collateral/Class B rate (1
19. Principal Tax Due
TAX CREDITS: DISCOUNT C+) AMOUNT PAID
PAYMENT RECEIPT
NUMBER INTEREST/PEN PAID C-)
DATE
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
.00
INTEREST AND PEN.
.00
TOTAL DUE
~ IF PAID AFTER DATE INDICATED, SEE REVERSE AFREFUND.DSEEIREVERSE:CSIDEAOFATHISEDORM FOR)INSORUCTION,SA,DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A