HomeMy WebLinkAbout07-29-11BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PD BOX 280601
HARRISBURG PA 17128-0601
SUSAN H CONFAIR
2331 MARKET ST
CAMP HILL
rnr~i~I~ ~0,~-i•E ~''OF INHERITANCE TAX
~C.'/-P1'~`R~4IS~M~I~F~,"r LLOWANCE OR DISALLOWANCE
fE•, CAF DEDU~`~~.~NS AND ASSESSMENT OF TAX
CUT ALONG THIS LINE ---- -) RETAIN LOWER PORTION FOR YOUR RECORDS F-
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REV-1547 EX AFP C12-10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: TENEYCK THOMAS EFILE N0.:21 10-0925 ACN: 101 DATE: 07-18-2011
TAX RETURN WAS: CX) ACCEPTED AS FILED t ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
Pennsylvania ,
DEPARTMENT OF REVENUE
REV-1547 IX AFP (12-10)
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
cs) 190 , 583.11
(9) 9.632.77
clo) 18,891.42
11. Total Deductions (11) 28,524.19
12. Net Value of Tax Return I12) 162, 058.92
13. Charitable/Governmental Bequests; Non-elected 9113 Tr usts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 162,058.92
NOTE: If an assessment was issued previously, li nes 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to d ate.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate C15) 50,686.30 X 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 1 1 7 .372.62 x 045 = 5, 011.77
17. Amount of Line 14 at Sibling rate (17) .00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 - .00
19. Principal Tax Due (19)= 5, 011.77
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
10-26-2010 CD013555 250.59 5,130.00
TOTAL TAX PAYMENT 5,380.59
BALANCE OF TAX DUE 368.82CR
INTEREST AND PEN. .00
TOTAL DUE 368.82CR
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
cl) .00
c2) .00
c3) .00
c4) .00
c5) 190,583.11
cb) .00
c7) .00
,.!t~~ ~~ n,
~~}'~i ~-' ""'
DATE 07-18-2011
ESTATE OF TENEYCK THOMAS E
~ER~{ [}~ DATE OF DEATH 08-12-2010
a~f?H~`S ~r~~RT FILE NUMBER 21 10-0925
Cl1MRFRL~"~(% .^,~ , PA COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 09-16-2011
P A 17 011 ( See reverse side under Objections )
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.