HomeMy WebLinkAbout08-31-11~~~2 ,!„ 1 , ~; ~ IU~~~ NOTICE OF INHERITANCE TAX pennsyLvania ~
BUREAU OF INDIVIDUA{. 'F}~XgS ~j. ~ RAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISIO}i ,' _ t "-4'~DF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP C12-10)
PO BOX 280601
HARRISBURG PA 17128-0601
._'I ~ ~i~~G ~ ~ ~t`~i ~ I ~ '~' v DATE
CLERK OF
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LISA MA E COYNE ESQ
3901 MARKET ST
CAMP HILL PA 17011
08-22-2011
ESTATE OF NOTT RONALD P
DATE OF DEATH 07-28-2010
FILE NUMBER 21 10-0928
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 10-21-2011
(See reverse side under Objections)
A~ount Re®itted
MAKE CHECK PAYABLE AND R'fMIT 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: NOTT RONALD PFILE N0.:21 10-0928 ACN: 101 DATE: os-22-~nll
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) .00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) 652.12 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .00 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D) C4) 18
75 2
4 6 of this form with your
.
, tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 10,214.44
6. Jointly Owned Property (Schedule F) (6) 3,4 04.28
7. Transfers (Schedule G) (7) .00
8. Total Assets c8) 33.023.30
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Cg) 24.8 00.13
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 3.38 2.53
11. Total Deductions C11) 28, 182.66
12. Net Value of Tax Return Clg) 4,840.64
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) 4 , 840.64
NOTE: If an assesssent was issued previously,
reflect figures that include the total
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns assessed to date.
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
PAYMENT RECEIPT DISCDUNT (+)
DATE NUMBER INTEREST/PEN PAID (-)
c15) 4,840.64 x
(16) _ nn X
C17) _ nn X
C18) . 00 x
AMOUNT PAID
00 = .00
045 = .00
12 = .00
15 = .00
c19)= . 00
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
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FDRM FOR INSTRUCTIONS.