HomeMy WebLinkAbout08-31-11BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PD BOX 280601 0601
HARRISBURG PA 17128-
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ennsylvania~ ~-~
INHERITANCE TAX ~ pEPARTMENT OF REVENUE
NOTICE OF W NCE OR DISALLOy+A.NCE REV 1547 EX AFP C12-lo)
APPO~D DUCTIONSLA ty~ASSESSMENT OF TAX
1..,;_, .
5-2011 E
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SUE CAMPBELL
1906 DARTMOUTH STPA 17011
CAMP HILL
08-1 VIRGINIA
DATE SHERWOOD
°'ESTATE OF 1p_04_2008
DATE OF DEATH 21 10-1099
FILE NUMBER CUMBERLAND
COUNTY 101
ACN APPEAL DATE: 10-14-2011
( See reverse side under Objections )
Remitted TO:
Amount AND REMIT PAYMENT
MAKE CHECK PAY AB WILLS
REGISTER OF SQUARE
1 COURTHOUSE 17013
CARLISLE PA
CORDS ~ ---"--
LOWER PORTION_FOR-YOUR_RE__ALLOWANCE OR
~ RETAIN ----TAX APPRAISEMENT, OF TAX 2011
THIS LINE DATE; 08-15-
CUT_ALONG_______________'- OF INHERITANCE
C12-10~ NOTICE OF DEDUCTIONS AND ASSESSMENA N. 101
REV-1547 EX AFP DISALLOWANCE EFILE N0.:21 10-1099 NOTICE _
VIRGINIA ~ X) CHANGED SEE ATTACHED
ESTATE OF : SHERWOOD ~ ) ACCEPTED AS FILED
TAX RETURN WAS` ORIGINAL RETURN ,p0 NOTE: To ensure Prop
(1) . credit to Your acco~
OF RETURN BASED ON ~ , 00 er Po
APPRAISED VALUE C2)_ submit the uPP
,00 of this form with Y
1, Real Estate (Schedule A) C3). ,00 tax Payment.
2, Stocks and Bonds (Schedule B) Interest (Schedule C) C4)_ ,00
3, Closely Held Stock/Partnership
(Schedule D) (Schedule E) C5)- ,00
4. Mortgages/Notes ReceivablPersonal Property C6),
,00
5, Cash/Bank DePositseM~ycCSchedule F) C7), .0~
6. Jointly Owned Prof C8)
7, Transfers (Schedule G)
. ~ Q.
g, Total Assets , 00
APPROVED DEDUCTIONS AND EXEMPTIONS:
Costs/Misc. Expenses (Schedule H) C9%'
C10) .0
q, Funeral Expenses/Adm. (11) ,0
10. Debts/Mortgage Liabilities/Liens (Schedule I) (12) ,0
J) C13) .0
11. Total Deductions Trusts (Sc:hedule (14)
Value of Tax Return Non-elected 9113
12. Net
13. Charitable/Governmental Beques s' 1 t,
c 15 and/or 16, 17, 18 and 19 w
14. Net Value of Estate Subject to Tax lines to date.
an assessment was issuedpreviouslY, of ALL returns assessed
NOTE: If that include the total ~ ,00 x 00 =
reflect figures
c15)_ 0~ x 045
ASSESSMENT OF TAX: cIb)_ 0.0._ X 12 =
Line 14 at Spousal rate rate
15. Amount of C17).
16. Amount of Line 14 taxable at ~ateal/Class ,00 X 1 5
rate C18)- (19)=
17, Amount of Line 14 at Sibling
4 taxable at Collateral/Class B
lg, Amount of Line 1
ly, Principal Tax Due AMOUNT PAID
TAX CREDITS: DISCOUNT C+)
RECEIPT INTEREST/PEN PAID C')
~ADATE T NUMBER
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUB
rc PAID AFTER DATE INDrTAONAL INTEREST{2SE
~- CCR). YOU M
IF TOTAL DUE IS REFLECTED AS A "CREDIT"
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRU~