HomeMy WebLinkAbout08-16-11BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
MICHAEL L BANGS
429 S 18TH ST
CAMP HILL
~•~~Cal.1~~Ni'~~uF~~i4~FOWANCE TOR DISALLOWANCE
~''~1`1F1¢T`~~'_~ll~~ AND ASSESSMENT OF TAX
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-10)
~: ~i " ~ ~.+~ ~ ~ t-`, ~ ~ k ~ ~ ;.. DATE 0 8 - O 1- 2 011
ESTATE OF SHAW ERNEST T
C~.~~K n~~ DATE OF DEATH 02-21-2011
~RP~~,y~v CVi-~1~~ FILE NUMBER 21 11-0299
C~);1:~g~~_!'i~\fFj !"'i~1 PQ COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 09-30-2011
P A 17 011- 5 9 0 2 (See reverse side under Objections
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE -~ - RETAIN LOWER PORTION FOR YOUR
------------------------ ---------- RECORDS F-
_
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REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE
_
--------------
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SHAW ERNEST TFILE N0.:21 11-0299 ACN: 101 DAT
E: 08-01-2011
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF R
ETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
I1)
2. Stocks and Bonds (Schedule B) C2) .00
15 8
811
51
NOTE: To ensure proper
c
dit
3. Closely Held Stock/Partnership Interest (Schedule C) (3) ,
.
.00 re
to your account,
submit the upper portion
4. Mortgages/Notes Receivable (Schedule D)
C4)
00 of this form with your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) .
5 6,5 92.1 7 tax payment.
6. Jointly Owned Property (Schedule F) ~6) .00
7. Transfers (Schedule G) ~7) .0 0
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: c8) 215.403 68
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 7
C9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 9 08
746.33
11. Total Deductions
12• Net Value of Tax Return (il) 8,075.41
13. Charitable/Governmental Bequests; Non-elected 9113 T
t 13~ 20 7,328.27
14.
Net Value of Estate Subject to Tax rus
s (Schedule J) C .00
I14) 207,328.27
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16
17
reflect figures that include the total
of ALL ,
,
returns
and 19 will
ASSESSMENT OF TAX: assessed to d to
15. Amount of Line 14 at Spousal rate C15) 00
0 0 =
16.
Amount of Line 14 taxable at Lineal/Class A rate
(16) .
x
9n7
78 .00
17.
Amount of Line 14 at Sibling rate __
.
77 x 045
9, 329.77
18.
Amount of Line 14 taxable at Collateral/Class B ra cln_
te (18) . nn x 12
00
15 . 00
19.
Principal Tax Due .
x .00
TAX CREDITS:
c19)=
9,329.77
_ - ---• • I nca.car ~ I DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-)
18 2011 CD014487 466.49
AMOUNT PAID
,863.
TOTAL TAX PAYMENT 9,329.77
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 FORM FOR INSTRUCTIONS.