HomeMy WebLinkAbout08-31-11BUREAU OF INDIVIDUAL TAXES;`,' NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION APPRAISEM!~~L
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CARLISLE
PA 17013
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DEPARTMENT OF REVENUE
REV-1547 EX AEP (12-10)
DATE 08-22-
ESTATE OF 2011
ADAMS
DATE OF DEATH 03-23_ ROBERT C
FILE NUMBER 2011
21 11-0475
COUNTY CUMBERLAND
ACN
APPEAL 101
DATE: 10-21_2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CUT-ALONG THIS LINE CARLISLE PA 17013
REV-1547 EX qFP--------- y __RETAIN-LOWER POR_TION_ FOR YOUR
C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT., ALLOW
DISALLOWANCE OF RECORDS t~
ESTATE OF: ADAMS DEDUCTIONS AND -------
ROBERT ASSESSMENT OF TAXCE OR '------
(FILE N0.:21 11-0475
APPRAISED VALUE OF Tax RETURN was: ( ACN: 101 DATE:
X) ACCEPTED AS FILED 08-22-2011
1• Real Estate (SchRedu eRA) BASED ON: ORIGINAL RETURN ( ) CHANGED
2. Stacks and Bonds (Schedule B)
3. Closely Held Stock/Partnershi C1) ~~ NOTE:
P Interest (2) , Q71 . Ta ensure proper
4• Mortgages/Notes (Schedule C) 18 credit to
Receivable (Schedule Your account,
5• Cash/Bank D) (3)--~ submit the upper
Deposits/Misc. Personal Pro of this form portion
6. Jointly Owned pro Perty (Schedule (4)-~ tax with your
Perty (Schedule F) E) (5) , 670.95 payment.
7. Transfers (Schedule G)
B• Total Assets C6)---=
APPROVED DEDUCTIONS (~)--~
AND EXEMPTIONS:
9. Funeral Expenses/qdm, Costs/Misc. (8)
10. Debts/Mart a 64 742.13
9 ge Liabilities/Liens Expenses (Schedule H)
(Schedule I) (9)- 6 `"' ,;~q
11. Total Deductions (lp)
12. Net Value of Tax ~~ 41
13. Charitable/Governmental q
Be nests; C11) 7,040.2(
14. Net Value of Non-elected 9113 Trusts (Schedule J) (121
Estate Subject to Tax 57, 701 .87
NOTE: If an assessment C13) •00
was issued previousl (14) 57 701.87
reflect figures y, lines
ASSESSMENT OF TAX: that include the 14' 15 and/or 16, 17, 18
total of A~ returns assessed and 19 will
15. Amount of Line 14 at Spousal rate
16. Amount of t~ date.
Line 14 taxable at Lineal/Class A (15)
1~• Amount of Line 14 at Siblin rate •00 X 00 =
9 rate C16) ~7 701 • 00
18. Amount of Line 14 ~ ~ x 04 5 =
19. Principal Tax Due taxable at (17) 2,596.5$
Collateral/Class B rate (lg) x 12
TAX CREDITS: •00 x 15 = •00
PAYMENT (19)- • 00
DATE RECEIPT 2, 596. 5g
NUMBER DISCOUNT (+)
06-07-2011 CD014547 INTEREST/PEN pgID (-)
AMOUNT2p 46(a ,• 7~
129.83
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX PAYMENT
BALANCE OF TAX DUE 2'596.58
INTEREST AND pEN• •00
TOTAL DUE •00
IF TOTAL DUE IS • 00
A REFUND. SEE REVERSECSIDEAOFA „~-REDIT'~ (CR),
THIS FORM FOR INSTRUCTIONS DUE