HomeMy WebLinkAbout05-20-11NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL raxES APPRA-I$EIM~~1T, ALLOWANCE OR DISALLOWANCE
INHERITANCE Tax DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601
HARRISBURG PA 17128-0601
LINDA MCCLAIN.
225 AUTUMN WOODS CT
DILLSBURG PA 17019
Pennsylvania
DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-10)
DATE 05-09-2011
ESTATE OF MCCLAIN MARYJANE
DATE OF DEATH 01-04-2010
FILE NUMBER 21 10-0555
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 07-08-2011
(See reverse side under Objections)
Amount Remitted~-
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RE('O
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RDS (~
REV-15 ------------
47 EX AFP C12-10~ NOTICE OF INHERITANCE TAX _
- _
APPRAISEMENT~
ALLOWANCE
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O
DISALLOWANCE OF DEDUCTIONS ,
AND ASSESSMENT OF
TAX R
ESTATE OF: MCCLAIN MARYJANE FILE N0.:21 10-0555
ACN
.
: 101 DATE: 05-09-2011
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF
RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2.
Stocks and Bonds (Schedule B) (1) .00
NOTE: To ensure proper
3.
Closely Held Stock/Partnership Interest (Schedule C) (2)
(3) .00
.00 credit to your account,
submit the upper portion
4. MortgageslNotes Receivable (Schedule D)
(4)
00 of this form with your
5. .
Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 3,97 3.4 9 tax payment.
6. Jointly Owned Property (Schedule F)
(6) .00
7. Transfers (Schedule G)
(7) .00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: ($) 3.973 49
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H )
10.
Debts/Mortgage Liabilities/Liens (Schedule I) (q) 1.4 9 .4 7
(10) .00
11. Total Deductions
12• Net Value of Tax Return (11) 1,459.47
13. Charitable/Governmental Bequests; Non-elected 9113 Tr
t 2,514.0 2
14. Net Value of Estate Subject to Tax us
s (Schedule J) (13) .00
(14) 2,514.02
NOTE: If an assessment was issued previously, lines 14
15
reflect figures that
include the total
of ALL ,
and/or 16, 17,
o
and 19 will
ASSESSMENT OF TAX: returns assessed to d t
15. Amount of Line 14 at Spousal rate (15) .00
0 0 =
16. Amount of Line 14 taxable at Lineal/Class A rate (16) X
7
F:7 • 00
17. Amount of Line 14 at Sibling rate .
4 0? x 045 = 113.13
18.
Amount of Line 14 taxable at
Collateral/Class B ra (ln
te (18) • 00 x 12 =
0 0
15 - . 00
19.
Principal 'Tax Due .
x .00
TAX CREDITS: (19)= 113.13
rra,mtni RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
03-08-2011 CD014102 1.70-
05-02-2011 SBADJUST 114.83
.00 .02
TOTAL TAX PAYMENT 113.13
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* 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.
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