HomeMy WebLinkAbout07-15-11~ 7.i,,,„-~-, ..,rL.- ~t ,. NOTICE OF INHERITANCE TAX Pennsylvania i.
BUREAU OF INDIVIDUAL~'~'1C~~S ` ~-~ A~1D?~~SEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION r. ~'~,~j~01~. DEDUCTIONS AND ASSESSMENT OF TAX. ~~
PO BOX 280601 ~~-~'-` •- ' -- - - REV-1547 EX AFP (12-10)
HARRISBURG PA 17128-0601
' I I n
CLERK OF
(~++~~oRPH.~!`J~~ ~ouRT
DEBRA K WA'C'L~~1'_G~ ~''RCJ C',0., PA,
24 N 32ND ST
CAMP HILL PA 17011
DATE 07'-04-2011
ESTATE OF REED DAWN A
DATE OF DEATH 07'-29-2010
FILE NUMBER 21 10-0821
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 09-02-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ---- ~• RETAIN LOWER PORTION FOR YOUR RECORDS
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REV-15 ----------
47 EX AFP C12-10) NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE
OR _
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: REED DAWN AFILE N0.:21 10-0821 ACIV: 101 DATE: 07-04-2011
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) I1) 0 0
2.
Stocks and Bonds (Schedule B)
C2) .
,00 NOTE: T
credit o ensure
proper
to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) I3) .00 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D)
(4)
00 of this form with your
5. .
Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 75,6 01.4 4 tax pay ment.
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) I7) .00
8. Total Assets
I8) _ 75,601.44
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Iq) 17, 0.9
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 77 , 250.03
11. Total Deductions (11) 94,760.98
12. Net Value of Tax Return C12) 19, 159.54-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax
C14) 19,159.54-
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16
17
18 and 19
i
reflect figures that
include the total
of ALL ,
,
returns assessed to date w
ll
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) Q
Q
X 04 5 = .
17
Am
t
f _
_ .00
.
oun
o
Line 14 at Sibling rate C17) _Q
~ X 12 =
. .00
18. Amount of Line 14 taxable at Collateral/Class B ra te C18) iDO X 15 = 0 0
19. Principal Tax Due .
TAX CREDITS C19)= .00
:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF 7'AX DUE .00
INTEREST AN:D PEN. .00
TOTAL DU'E .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YDU MAY BE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS~~