HomeMy WebLinkAbout08-31-11BUREAU OF INDIVIDUAL 7AXES'r ~ ~ • APAR NOTICE OF INHERITANCE
INHERITANCE TAX DIVISION AI$F TAX
Po Box zao6ol T~ ALLOWANCE OR DISALLOWANCE Penns
NARRISBURG PA 1 7128-0601 ~ •CT Ylvania
OF ,~ IONS AND ASSESSMENT DEPARTMENT OF REVENUE
-'-'1 DF rax
R~-1547 EX AFP (12-10)
°; ~ k ( (' ...` v DATE
ESTATE OF 08-22-2011
(~~ ~~,'~ ,~,r DIEHL
u r 'h. ~ ~- DATE OF DEATH 09-16-2010 NANCY C
IVO , ~~~~ 1 ~)4Jr?' FILE NUMBER
v orro rr~:, ~ -~ 21 11-0272
10 E HIGH ST •^ ' , P,a COUNTY CUMBERLAND
CARLISLE ACN
PA 17013 APPEAL 101
DATE: lp_21_2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT
REGISTER OF WILLS PAYMENT T0;
1 COURTHOUSE SQUARE
CUT ALONG THIS LINE CARLISLE pA
REV-1547 --- ~ RETAIN 17013
EX AFP C12-101 -'- _ _LOWER PORTION
NOTICE OF INHERITANCE TAX -FOR YOUR RE(:_ORDS
ESTATE OF; DISALLOWANCE OF DEDUCTIONS ANDRAISEMENT, 4~ __ ______
DIEHL ASSESSMENTAOFOTAXCE OR
NANCY (FILE N0.:21 11-
APPRAISED rAx REruRN WAS: 0272 ACN: 101
VALUE OF RETURN (X) ACCEPTED AS FILED DATE: 08-22-2p11
1 • Real Estate [Schedule A) BASED ON: ORIGINAL RETURN ( ) CHANGED
2• Stocks
and Bonds (Schedule
3• Closely Held B)
Stock/Partnership Interest (1) ~'~ NOTE; rO
4• Mortgages/Notes (Schedule C) (2) ensure proper
Receivab ~~= credit to your
5• Cash/Bank le (Schedule D) (3)~-- 00 submit the account,
Deposits/Misc. personal pro _~~ upper
6• Jointl °f this Portion
Y Owned pro Perty (Schedule form with your
7 Tr Perty (Schedule F) 4) ~~ tax payment,
ansfers (Schedule G) E) (5)~~~,29-
6 ) ~--~
8. 7ota1 Assets
APPROVED DEDUCTIONS (7)--~
g• Funeral AND EXEMPTIONS:
Expenses/qdm, Costs/ (B) 21
10. Debts/Mort a Misc. Expenses (Schedule H) 298.2 7
g 9e Liabilities/Liens (Schedule I)
11. Total Deductions (9)-~~Q
12. C10)
Net Value of Tax -~00
13. Charitable/cover Return
14. Net Value nmental Bequests; Non-elected 9113 (11)
of Estate Sub' (12) • 00
7ect to Tax Trusts (Schedule J) 21 , 29$ , 27
NOTE: If an assess (13)
reflect ment was issued •00
figures preVlously, lines (14) 21 298.27
ASSESSMENT that include 14,
OF TAX: the total of ALL r 15 and/or• 16, 17, 18
15. Amount of Line 14 at ~ eturns and 19 will
16. Amount °f Spousal rate assessed to date.
Line 14 taxable at Lineal/Class
17. Amount of (15) 21 , 298.27 x 00
Line 14 at Siblin A rate (16)
18• Amount g rate • 00
°f Line 14 taxable (17) X 045 =
19. Principal Tax Due at Collateral/Class •00
7AX CREDITS: B rate (lg) x 12 =
.00 x 15 •00
PAYMENT
RECEIPT (lg)= 00
DATE DISCOUNT (+) .00
NUMBER
INTEREST/pEN PAID (-)
AMOUNT PAID
* IF PgID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX AYP MENT
BALANCE OF TAX DUE •00
INTEREST AND pEN, •00
TOTAL DUE •00
IF TOTAL DUE IS REFLECTED •p0
A REFUND. SEE REVERSE SIDEAS A ~~CREDIT'~
OF THIS FORM FOR)• YOU MAY BE DIJ,~
INSTRUCTIONS. ~'"