HomeMy WebLinkAbout05-20-11BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX Pennsylvania `~'
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF •fAX DEPARTMENT OF REVENUE ~,
REV-1547 EX AFP (12-10)
DATE 05-09-2011
ESTATE OF DOWS MARK S
DATE OF DEATH 02-09-2010
FILE NUMBER 21 10-0196
MARK S DOWS COUNTY CUMBERLAND
17 ACORN DR ACN 101
BOILING SPRINGS PA 17007 APPEAL DATE: 07-08-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TD:
REGISTER CIF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~) RETAIN LOWER PORTION FOR YOUR RECORDS •-
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REV-1547 EX AFP (12-10) NOTICE OF INHERITANCE ----
----------------
TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: DOWS MARK SFILE N0 .:21 10-0196 ACN: 101 DATE: 05-09
-2011
TAX RETURN WAS: CX) ACCEPTE D AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1)
00
2. Stocks and Bonds (Schedule B) .
NOTE: To ensure proper
(2) 28,663.00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D) of this form with your
C4)
00
5. Cash/Bank Deposits/Misc. Personal Property (Sched .
tax payment.
ule E) (5) 25,0 24.00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: (8) 53.687 00
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 3,52 3.00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions
12•
Net Value of Tax Return (11) 3,523.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Sched
l (13) 5 0,164.00
14. Net Value of Estate Subject to Tax u
e J) .0 0
(14) 50,164.00
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16
17
18
reflect figures that
include the total
of ALL ,
,
returns and 19 will
ASSESSMENT OF TAX: assesse d to date.
15. Amount of Line 14 at Spousal rate C15) 50,164
00 00 =
16.
Amount of Line 14 taxable at
Lineal/Class A rate
(16) .
x
_00 x
045 = .00
17.
Amount of Line 14 at Sibling
rate
(17) .00
-0o x -
12 -
00
18. Amount of Line 14 taxable at Collateral/Class B ra te C18) 0 0 15 = .
19.
Principal Tax Due .
x .00
TAX CREDITS:
0
(19)=
.00
AYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
TOTAL TAX PAYMENT .00
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" CCR), YOU MAY BE Dly~
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. *.