HomeMy WebLinkAbout05-20-11NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAxES, APPRAISRME?NT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION OF DEDICTIONS AND ASSESSMENT OF TAX
PD BOX 280601
HARRISBURG PA 17128-0601
Pennsylvania ; ~ ~
DEPARTMENT OF REVENUE ~'
REV-1547 EX AFP (12-10)
DATE 05-09-2011
ESTATE OF SGRIGNOLI DOROTHY C
DATE OF DEATH 05-26-2009
FILE NUMBER 21 09-0945
TERRY L SGRIGN~J~:I COUNTY CUMBERLAND
1057 YORK RD ACN 101
D I L L S B U R G P A 17 019 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 f'A 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS •-
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REV-1547 EX AFP C12-10) NOTICE OF INHERITANCE ---- _ _
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TAX APPRAISEMENT
ALLOWANCE
,
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SGRIGNOLI DOROTHY (FILE N0 .:21 09-0945 ACN
: 101 DATE: 05-09-2011
TAX RETURN WAS: (X) ACCEPTE D AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) 126,500
00
2. Stocks and Bonds (Schedule B) .
NOTE: To ensure proper
3. Closely Held Stock/Partnershi
I
t (2) 1 , 638.00 credit to your account,
p
n
erest (Schedule C) (3) .00 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D) of this form with your
(4)
00
5. Cash/Bank Deposits/Misc. Personal Property (Sched .
tax payment.
ule E) (5) 644.42
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G) (6) .00
(7) .00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS• (8) 128,782 42
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12• Net Value of Tax Return I11) 11,502.17
13. Charitabl e.~Governmental Bequests; Non-elected 9113 Tr
t (12) 117,280.25
14. Net Value
of Estate Subject us
s
to Tax (Schedule J)
(13) . 00
(14) 117,280.25
NOTE: If an assessment was issued previously, lines 14
15
'
reflec
t figures that
include the tot
l ,
and.
or 16, 17,
and 19 will
ASSESSMENT OF TAX: a
of ALL returns assessed to d at
15. Amount of Line 14 at Spousal rate (15) 00 =
00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) .
X
1 1 7
780
~ • 00
17. Amount of Line 14 at Sibling rate .
,
?
X 045 = 5, 277.62
18. Amount of
Line 14 taxable at c17)
Collateral/Class B rate (18) .00 x 12 =
00 .00
19. Principal Tax Due .
X 15 = .00
TAX CREDITS: (19)= 5,277.62
PAYMENT RECEIPT
DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
02-26-2010 CD012400
03-10-2011
CD014109 .00
5.,233.00
05-02-2011 SBADJUST '00 44.62
.DO 1.76
TOTAL TAX PAYMENT 5,277,62
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
(9) '1.14 ~4
(lo) 1 , 356 73
* 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 DF THIS FORM FOR INSTRUCTIONS.
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