HomeMy WebLinkAbout07-15-11 r (~~D „_~,Nq~I,~~ OF INHERITANCE TAX Pennsylvania
~~'P'PR~i4~gEM' T.e ~'LLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES '~'r~r
DEDUGTT~IVS
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AND ASSESSMENT OF TA:K REV-1547 EX AFP (12-10)
INHERITANCE TAX DIVISION ;
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PO BOX 280601
HARRISBURG PA 17128-0601
-~-` E .JL ~ ~ ~' j'~ ~~' DATE 07-12-2011
,, ESTATE OF GARDNER ANTHONY C
CLERK CF DATE OF DEATH 01-26-2011
Q~P~~'S COURT FILE NUMBER 21 11-0249
Cl1MRrp~ !3"v!~ ~~~~ PFD COUNTY CUMBERLAND
H ANTHONY ADAMS ACN 101
STE 3 APPEAL DATE: 09-10-2011
(See reverse side under Objections)
49 W ORANGE ST
SHIPPENSBURG PA 17257 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF HIILLS
1 COURTHOUSE SQUARE
CARLISLE P'A 17013
CUT ALONG THIS LINE ~) RETAIN LOWER
----------- PORTION FOR-YOUR REC~DRDS- ~-
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REV-1547 EX AFP C12-10) ---------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: GARDNER ANTHONY (FILE N0.:21 11-0249 ACM: 101 DATE: 07-12-2011
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) _ .00 NOTE: To ensure proper
00 credit to your account,
2. Stocks and Bonds (Schedule B) (2) _ .
submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00
_ of thi s form with your
4. Mortgages/Notes Receivable (Schedule D) (4) _ .00 tax pa yment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 73,2b8.31
6. Jointly Owned Property (Schedule F) (6) _ .00
7. Transfers (Schedule G) (7) _ .0 0
(e) 73,2b8.31
8. Total Assets
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) _ .00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) _ .00
(11) .00
11. Total Deductions 268.31
73
12. Net Value of Tax Return (12) ,
00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Sche dule J) (13) .
14. Net Value of Estate Subject to Tax (14) 73,268.31
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns as;:essed to date.
ASSESS MENT OF TAX:
15. Amount of Line 14 at Spousal rate (15) 73,258.31 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) _.00 x 04 5 = .00
17. Amount of Line 14 at Sibling rate C17) _.00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) _•00 X 15 = .00
(19)= .00
19. Principal Tax Due
T AX CR EDITS:
PAYMENT
RECEIPT
DISCOUNT (+) _
AMOUNT' PAID
DA TE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTERES~f AND PEN. .00
TOTAL DUE .00
+ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" OCR), YOU MAY BE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.