HomeMy WebLinkAbout08-31-11NOTICE OF INHERITANCE TAX Pennsylvania ~
BuREau of INDIVIDUAL TaxES ~".A'PIPRAYS~MEIV'f,LIALLOWANCE OR DISALLOWANCE ~
INHERITANCE TAX DIVISION - -,- OF I)EDUC,TIQNS AND ASSESSMENT OF T.AX DEPARTMENT OF REVENUE
PO BOX 280601 REV-1547 EX AFP (12-10)
HARRISBURG PA 17128-0601 r;~~ •~
{, ;=,, ,s 4, ~ _ DATE 08-15-2011
ESTATE OF COLLINS SR EMMETT M
CL~~F\ ~~,~: DATE OF DEATH ~D5-09-2010
azi~n ~^•r. rT FILE NUMBER .?1 10-0911
WANETA ~ GOODWIN Ci
l~a~'' I r:~i N".•. COUNTY CUMBERLAND
,
508 COLONY RD ACN a01
CAMP HILL
PA 17 011 APPEAL DATE: 10-14-2011
(See reverse side under Obj ections
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CU7 ALONG THIS LINE -~ --R_ETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1547 EX
AFP C12-10) NOTICE OF INHERITANCE
DISALLOWANCE O TAX APPRAISEMENT, ALLOWANCE
--------------
OR
F DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: COLLINS SR
EMMETT MFILE N0 .:21 10-0911 ACN:
101
DATE: 08-15-2011
TAX RETURN WAS: C X) ACCEPTE D AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B) ~1) .00 NOTE: To ensure proper
3. Closely He ].d Stock/Partnership Interest (Sched
l C2) •U~ credit to your account,
b
u
e
4. Mortgages/Notes Receivable (Schedule D) ~3) .~~
C) su
mit the upper portion
of this form with your
5. Cash/Bank Deposits/Misc. Personal Property (Sched 02
ule E) (5) 12,212 tax payment.
6. Jointly Owned Property (Schedule F) .
7. Transfers (Schedule G) I6) .00
c7) .00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: Ce) 12.212 12
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedu le H)
10. Debts/Mortgage Liabilities/Liens (Schedule I) C9) 7.4 07.78
clo) 84,489
31
11. Total Deductions .
12• Net Value of Tax Return (11) 86,$97.09
(12)
13. Charitable/Governmental Bequests; Non-elected 9113 Trust 74,684.9 7-
14. Net Value of Estate Subject to Tax s (Schedule J)
C13) .00
NOTE: If an assessment was issued previously, C14)
lines 14
1 74,684 97-
reflect figures that include the total ,
5 and/~or 16, 17,
f 18 and 19 will
ASSESSMENT OF TAX: o
ALL returns assessed to d ate.
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate (15) ~ ~ X 00 = .00
17. Amount of Line 14 at Sibling rate c16) -Q„Q_ x 045 = .00
18. Amount of Line 14 taxable at Collateral/Class B
ra
19. Principal Tax Due te (18)
• ~~ X 15 =
. 00
TAX CREDITS: c19)= .00
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID ( -) AMOUNT PAID
TOTAL TAX PAYMENT
.00
BALANCE OF 1"AX DUE .00
INTEREST AND PEN. .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL DUE I .00
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.