HomeMy WebLinkAbout09-14-11NOTICE OF INHERITANCE TAX
,AR RAISEMENT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVLC~'~31~~'S''~?'`~"~~ti1F.lJ OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVI g r._ _ ~'" k C
PO BOX 280601 ~~ „„~~
HARRISBURG PA 17128-0 ~-~~'-'~
pis ~ ~~~ ~ ~+ C` ~~~~ ~'L
CLERK 0~
S COJRT
PATRIC~~)O)I~ ~~~k~ k~~`j PA.
354 ALEXAN~ER SPRING RD
CARLISLE PA 17015
Pennsylvania
DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-10)
DATE 09-05-2011
ESTATE OF JORDAN CONNIE
DATE OF DEATH 07-23-2009
FILE NUMBER 21 09-0813
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 11-04-2011
(See reverse side under Objectimns )
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
S
6 THIS LINE _ ~ RETAIN LOWER PORTION FOR
---------------------------
CUT ALON
YOUR
-----
RECORD
---------------
ALLOWANCE
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---
OR
_
REV-1547 EX AFP C12-10) NOTICE OF INHERITANCE TAX APPR
DEDUCTIONS AND AISEM
ASSES ENT,
SMENT OF TAX
DISALLOWANCE OF
:21 09-0813
SFILE N0 ACN: 101 DATE: 09-05-2011
.
ESTATE OF: JORDAN CONNIE
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
102,528.11
NOTE: To ensure proper
1. Real Estate (Schedule A) C1) 00 credit to your account,
Stocks and Bonds (Schedule B)
2 ~2)
00 submit the upper portion
.
3. Closely Held Stock/Partnership Interest (Schedule C)
C3) .
,00 of this form with your
tax payment.
4. Mortgages/Notes Receivable (Schedule D) C4)
18,635.37
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 10.77
6. Jointly Owned Property (Schedule F) C6)
.00
7. Transfers (Schedule G) (7)
25
174
121
C8) .
.
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: 18.786.72
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 114.990.46
bilities/Liens (Schedule I) (10)
10. Debts/Mortgage Lia 18
777
133
(11) .
,
11. Total Deductions C12) 12,602.93-
12. Net Value of Tax Return C13) .00
-elected 9113
N Trusts (Schedule J)
13 on
Charitable/Governmental Bequests; 1 2,602.93-
.
14 Net Value of Estate Subject to Tax C14)
. sesseent was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
NOTE: If an as
t include the total
th of ALL returns assessed to date.
a
reflect figures
ASSESS MENT OF TAX: ,00 X pp .00
15. Amount of Line 14 at Spousal rate C15) 00 x 045 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) .
00 X 12 ` .00
17. Amount of Line 14 at Sibling rate C17)
00
15
.00
B rate (18)
Cl . X
18. ass
Amount of Line 14 taxable at Collateral/ (19)= .00
19. Principal Tax Due
TAX CR EDITS:
- RECEIPT DISCOUNT (+) AMOUNT PAID
1YMENT
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 DUrrE~~~
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.wiM