HomeMy WebLinkAbout09-14-11 (2)BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BDX 280601
HARRISBURG PA 17128-0601
DONALD W DORR
846 BROADWAY
HANOVER
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Pennsylvania
DEPARTMENT OF REVENUE
REV-1547 IX AFP (12-10) -"-`
DATE 09-05-2011
ESTATE OF WALLICK
DATE OF DEATH 04-04- BETTY W
FILE NUMBER 21 11_2011
COUNTY O~i98
ACN CUMBERLAND
APPEAL DATE:
(See reverse side under' Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARC
OApN~ER~ ~F
PA 17331 pA
CUT-ALONG THIS LINE CARLISLE PA 17013
REV-1547 EX AFP C12-10) ~ -_RETAIN-LOWER POR_TION_ FOR YOUR
NOTICE OF INHERITANCE TAX APPRAISEMENTCORDS_ ~
ESTATE OF: DISALLOWANCE OF DEDUCTIONS AND -------------
WALLICK ASSESSMENTAOFOTAX~E OR
BETTY WFILE NO.:
TAX RETURN WAS; ( 21 11-0498 ACN:
APPRAISED X) ACCEPTED AS FILED 101 DATE: 09-05-2011
VALUE OF RETURN BASED ON: ORIGINAL RETURN ( ) CNANGED
1• Real Estate (Schedule A)
2• Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4• Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. personal Property (Schedule E)
6• Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8• Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule
10. Debts/Mortgage Liabilities/Liens (S
H)
c1) .00
(2)
•00 NOTE: To ensure proper
(3)
.00 credit to your account,
submit the
(4)
.00 upper portion
of this form with yo
(5)
11,716.48 ur
tax payment.
(6) . 00
(~) 19, 194.36
(8) 30 910.84
(9) [ ,
chedule I) 979 ~°
11. Total Deductions (10)
1 368.46
12. Net Value of Tax Return
13. Charitable/Governmental Be (11)
14. Net Value of Estate Subjectuto Tax 6,340.88
Non-elected 9113 Trusts (Schedule J) (12) 24,569.96
NOTE: If an (13) .00
assessment was issued previously, lines 14, 5 (14)
reflect fi 24 569.96
ASSESSMENT gores that include the total of 1 and/or
OF TAX: A~ returns 16, 17' 18 and 19 will
15. Amount of Line 14 at S BSSessed t0
16. Amount of Line 14 taxable sat rate date,
17• Amount of Line 14 at Siblin Lineal/Class (15) _
A rate ' 00 X 00
9 rate (16) 74 ~go o .00
18. Amount of Line 14 taxable at Collateral/Class g C17) X 045 - 1.105.65
19• Principal Tax Due X 12 =
TAX CREDITS: rate (lg) .00
.00 x 15 = .00
PAYMENT C19)=
DATE RECEIPT 1 , 105.65
NUMBER DISCOUNT (+)
06-24-2011 INTEREST/pEN PAID (-)
[0014627 AMOUNT PAID
55.2x
,u7U.
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
NOTICE OF INHERITANCE TAX
T APPRAISEMENT,
v~,~ ALLOWANCE OR DISALLOWANCE
~~~` b~ rpE'D~~FIpQ_NS AND ASSESSMENT OF TAX
_ ,'~'' ~
-,~J
TOTAL TAX PAYMENT
BALANCE OF TAX DUE 1.105.65
INTEREST AND pEN, •00
rorAL DUE •oo
IF TOTAL DUE IS REFLECTED AS A , •00
A REFUND. SEE REVERSE SIDE OF THISEFORM FOR)INSTRUCTIONS,DUE