HomeMy WebLinkAbout08-31-11~; !'N,O~ICE OF ., ~IERITANCE TAX Pennsylvania ~ ; ~
BUREAU OF INDIVIDUAL TAXES APPR~ITS.EM~NT, ALL-~W~~1CE OR DISALLOWANCE
INHERITANCE TAX DIVISION OF ~D~DUCTIONS ~ANp ASSESSMENT OF TAX DEPARTMENT OF REVENUE
PO BOX 280601 REV-1547 EX AFP (12-10)
HARRISBURG PA 17128-0601
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ROBERT J BROBST ~ ~ ~ Nom.
122 STONEHEDGE DR
CARLISLE PA 17013
,;DATE 08-22-2011
ESTATE OF EtROBST RICHARD C
DATE OF DEATH C17-21-2010
FILE NUMBER "e:l 11-0540
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 10-21-2011
(See reverse :side under Objections
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE P,A 17013
CUT ALONG THIS LINE ~ --R_ETA_IN LOWER POR
TION
- - -- --- -------------
FOR YOUR RECORDS
REV-1547 F~
_
EX AFP C12-10) NOTICE OF INHERITANCE TAX
DISALLOWANCE O _
------------
APPRAISEMENT, ALLOWANCE
------------------
OR
F DEDUCTIONS
ESTATE OF: BROBST AND ASSESSMENT OF TAX
RICHARD (FILE N0.:21 11-0540 A(:N:
101
DATE: 08-22-2011
TAX RETURN WAS: (X) ACCEPTED 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 Held Stock/Partnership Interest (Schedule C) C2) .00 credit to your account,
submit t
4. Mortgages/Notes Receivable (Schedule D)
c3)
.00 he upper portion
of this form with your
(4) 00
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 2,4 00
4 3 tax payment.
6. Jointly Owned Property (Schedule F) .
7. Transfers C!ichedule G) c6) .00
cn 149,468.34
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: cB) 151.868 77
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9)- 10,06 p,8~
10. Debts/Mortgage Liabilities/Liens (Schedule I)
clo) 2, 067.05
11. Total Deduct:ions
12• Net Value of Tax Return (11) 12,127.$6
13. Charitable/Governmental Bequests; Non-elect
d (12) 139,740.91
14. Net Value of Estate Subject e
9113 Trusts
to Tax (Schedule J)
(13) •00
NOTE: If an assessment was
issued previously
li cl4) 139,740 91
reflect figures that ,
nes
include the tot
l 14, 15 and/or 16, 17, 18 and 19 will
ASSESSMENT OF TAX: a
of 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 C15) •00 X 00 = .00
17. Amount of Lime 14 at Sibling c16)
rate _ 739.7G0 Q]r x 045 = 6,288.34
18. Amount of Line 14 taxable at c17)
Collateral/Class B -~ x 12 = .00
19. Principal Ta:c Due rate (18)
• 00 X 15
. 00
TAX CREDITS: c19)= 6,288.34
PAYMENT
RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PA]:D
05-04-2011 CD014402
.00
6,288.34
BALANCE OF UNPAID INTEREST/PENALTY AS OF 05-05-2011 TOTAL TAX PAYMENT
6,288.34
BALANCE OF T'AX DUE .00
INTEREST AND PEN. 6.70
TOTAL DUE 6.70
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS ,4 "CREDIT" (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.