HomeMy WebLinkAbout08-31-11NOTICE OF INHERITANCE TAX
n~`I~, ,~ hP;~k' ENT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAX St''~" ~--'' = r_'"l7F'
INHERITANCE TAX DIVISION LI '~ `,~F,~rD~DUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 I ~~ ~ _ ~.!,i
HARRISBURG PA 17128-0601
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-10)
f ~F ! ~;~r~ ~ ~ rF~'^ j j ~ '~ DATE 08-22-2011
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ESTATE OF BORSUK DREW A
C~~R~ ~~ DATE OF DEATH 11-02-2010
~~pp~~r~N~~s_vCv~R~ FILE NUMBER 21 10-1154
MICHAEL A S~E~~~'~~% lJ~), Pig COUNTY CUMBERLAND
ACN 101
19 W SOUTH ST APPEAL DATE: 10-21-2011
C A R L I S L E P A 17 013 (See reverse side under Objections )
Aaount Resitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALON_6 THIS LINE _ ~ R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS ~
_
REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE _______________
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: BORSUK DREW AFILE N0.:21 10-1154 ACN: 101 DATE: 08-22-2011
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .QQ credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) 00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) .00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) .00
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (g) .00
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .0 0
11. Total Deductions C11) .00
12. Net Value of Tax Return (12) .00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) .00
NOTE: If an assessaent was issued previously, lines 14, 15 and/or 16, 17 , 18 and 19 will
reflect fi0ures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate (15) .00 X 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) _00 x 04 5 = .00
17. Amount of Line 14 at Sibling rate C17) _OD X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 - .00
19. Principal Tax Due C19)= .00
TAX CREDITS:
rn,nen~ I KtGt1Yl I DISCOUNT (+) I AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~,