HomeMy WebLinkAbout07-15-11BUREAU OF INDIVIDUAL
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
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TAXESr} -" OF !D~UCTIONS AND ASSESSMENT OF TAX
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CLERK ~F
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ELIZABETH P
100 PINE ST
PO BOX 1166
HBG PA 17108
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109,333.33
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~-) RETAIN LOWER PORTION FOR YOUR RECORDS f~ ______________
CUT ALON_6 THIS LINE ------------------'------"-----~-----------
REV-1547 EX AFP (12-10~DISALLOWANCENOFRDEDUCTIONS ANDRASSESSMENTAOFOTAXCE OR
CABOT LFILE N0.:21 05-1078 ACN: 501 DATE: 07-12-2011
ESTATE OF: RESUTA
TAX RETURN WAS: C ) ACCEPTED AS FILED C X) CHAtJGED SEE ATTACHED NOTICE
LITIGATION 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)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11
12
13
14
Total Deductions
Net Value of Tax Return
Charitable/Governmental Bequests; Non-elected 9113 Trusts
Net Value of Estate Subject to Tax
NOTE: 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 rate
DATE 07-12-2011
ESTATE OF RE:3UTA CABOT L
DATE OF DEATH 10-18-2005
FILE NUMBER 21 05-1078
COUNTY CUMBERLAND
ACN 501
APPEAL DATE: 09-10-2011
(See reverse side under Objections)
Amount Remitted
MAKE REG STER OFB WI A gD REMIT PAYMENT T0:
1 COURTHOUSE: SQUARE
CARLISLE PA 17013
d 19 will
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
lines 14, 15 and/or 16, 17, 18 an
of ALL returns assessed to date.
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS: DISCOUNT (+)
PAYMENT RECEIPT
DATE NUMBER INTEREST/PEN PAID (-)
.00
04-18-2008 CD014107 .00
03-08-2011
00 - .00
045 = 1,848.38
12 = .00
15 = .00
c19)= 1,848.38
2,037.24
1,941.83
TOTAL 1'AX PAYMENT 3,979.07
BALANCE OF TAX DUE 2,130.69CR
INTEREST AND PEN. .00
TOTAL DUE 2,130.69CR
c15) .00 X
c16) 41_,a7F. R X
c17) .00 X
c18) .00 x
AMOUNT PAID
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pennsylvarna
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-10)
C8) 109 , 333.33
c9) 6 380.00
clo) •61,8_ 78.05
cll) 68,258.05
cl2) 41,075.28
c13) . 00
(Schedule J) 41 , 075.28
(14)
+ 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.