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HomeMy WebLinkAbout07-15-11P,~nnpr,'`i1 1r'~~G NICE OF INHERITANCE TAX ,~~r t Tr~~~LSS~ME:NT, ALLOWANCE OR DISALLOWANICE: BUREAU OF INDIVIDUAL TAXE~~ `- ,` Lr-~, INHERITANCE TAX DIVISION `'bF'D`E:bUCTIONS AND ASSESSMENT OF TAX PO BOX 280601 HARRTS811RC PA 7 71 28-060 1 _ [-~ ~l~ ~~~ . .,7 ( ~, it t.i . CLILE`~'K CF Cirpl ii-1iV~v ~iC~iI. MICHAEL H WARNER 155 JOAN ST ELIZABETHTOWN PA 17022 Pennsylvania ~ i DEPARTMENT OF REVENUE '~' REV-1547 EX AFP (12-10) DATE 07-12-2011 ESTATE OF WARNER SR KERMIT L DATE OF DEATH 01-11-2011 FILE NUMBER 21 11-0269 COUNTY CUMIBERLAND ACN 101 APPEAL DATE: 09-10-2011 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYAIBLE AND REMIT PAYMENT T0: REGISTER OF WALLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECIDRIDS ~ REV-1547 EX AFP (12-10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF: WARNER SR KERMIT LFILE N0.:21 11-0269 A,CNI: 101 DATE: 07-12-2011 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGEED APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) _ •DD NOTE: To ensure proper 2. Stocks and Bonds (Schedule B) .00 (2) _ credit to your account, OD submit the upper portion 3. Closely Held Stock/Partnership Interest (Schedule C) • (3) _ of this form with your 4. Mortgages/Notes Receivable (Schedule D) C4) _ •DD tax payment. 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 4 5,611.50 6. Jointly Owned Property (Schedule F) (6) _ .0 0 7. Transfers (Schedule G) (7) _ .00 s. Total Assets (B) 45,611.50 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) ~ 7 01.26 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) _ 24 4.0 3 11. Total Deductions (11) 4,945.29 12. Net Value of Tax Return (12) 40,666.21 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .DO 14. Net Value of Estate Subject to Tax (14) 40,666.21 NOTE: If an assessment was issued previously, lines 14, 15 and/cEr 16, 17 , 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) _ 00 X 00 = .00 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 40.66jL2L X 045 = 1,829.98 17. Amount of Line 14 at Sibling rate (17) ~~„Q_ X 12 = .00 18. Amount of Line 14 taxable at Collateral/Class B rate C18) _ 00 )( 15 = .00 19. Principal Tax Due (19) = 1,829.98 TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 03-02-2011 CD014400 91.50 :1,829.98 TOTAL TA)C PAYMENT 1,921.48 BALANCE OF TAX DUE 91.50CR INTEREST AND PEN. .00 TOTAL DUE 91.50CR * IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE D~ FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OAF THIS FORM FOR INSTRUCTIONS.