HomeMy WebLinkAbout09-14-11 (2)BUREAU OF INDIVIDUAL TAxES f1 ,~,~TSFME~r~ A F INHERITANCE TAX"
INHERITANCE TAX DIVISION € e OWANCE OR DISALLOWANCE Pennsylvania
PO BOX 280601 ' -=Q~ 1yEDUt`i~~~~~ DEPARTMENT OF REVENUE
HARRISBURG PA 1nz6-BSO1 AND ASSESSMENT OF TAX
~E~-' _• ~. Ill ~ ~ REV-1547
~c' ~ ...
CLERK CF
ROBERT G FREY ORPHAN S ~Q(),qT
~_W,:;~, ~,~ PA
5 S HANOVER ST ~~~~~'~~'`~~' ~~'~~' h-
CARLISLE PA 17013
DATE 09-05-2011
ESTATE OF BRENIZER
DATE OF DEATH 03-20-2011 GRACE L
FILE NUMBER 21 11-0394
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 11-04-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CUT ALON_6 THIS LINE CARLISLE PA 17013
REV-1547 EX AFP (12-10) NO ICEROFAINHERITANCERTAXNAPPRAISUR RECORDS (•~.
ESTATE OF: DISALLOWANCE OF DEDUCTIONS AND ASSESSMENTAOFOTAX~CE OR ---------
BRENIZER GRACE
LFILE N0.:21 11-0394 wry-.-
APPRercrn ,..
iAX RETURN WAS; ~
X) ACCEPTED AS FILED
------- ••+~ue ur RETURN BASED ON: ORIGINAL RETURN
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 H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
iur DATE: 09-05-2011
~ ) CHANGED
cl) 235, 700.00
C2) 3 5
,20 7
00 NOTE: To ensure proper
c
. redit to your account
C3)
.00 ,
submit the upper porti
~4)
00 on
of this farm with your
C5) 208,881.00 tax payment.
c6) .00
c7) 37,b43.00
C8) 517 431.00
C9) 1 Q 97 ~ nn
11. Total Deductions C10) .00
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; X11) 10,913.00
14. Net Value of Estate Subject to Tax Non-elected 9113 Trusts (Schedule J) C12) 506,518.00
c13) . 00
NOTE: If an assessment was issued previously, C14)
reflect figures that include the total of ALL returns as 506 518.00
lines 14, 15 and/or 16, 17, 18 and 19
ASSESSMENT OF TAX: will
15. Amount of Line 14 at Spousal rate sensed to date,
16. Amount of Line 14 taxable at Lineal/Class A rate C15)
17. Amount of Line 14 at Sibling rate C16)_ rnX ~ 00 x 00 = • 00
-1~ i x 045 =
18. Amount of Line 14 taxable at Collateral/Class B rate C17) - 22,793.31
19. Principal Tax Due x 12 .00
TAX CREDITS: c18) • 00 x 15 =
_ .00
PAYMENT (19) 22,793.31
RECEIPT
DATE DIS
05-27-2011 NUMBER
CD014516 COUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
06-16-2011 CD014588 1,026.32
113.35 19,500.00
2,318.31
TOTAL TAX PAYMENT
BALANCE OF TAX DUE 22'957.98
INTEREST AND PEN, 164.67CR
* IF PAID AFTER DATE
FOR CALCULATION OF
INDICATED,
SEE REVERSE TOTAL DUE •DO
164.6 7CR
ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A '
A REFUND. CREDIT'
SEE REVERSE SIDE OF THIS FORM FOR)
INSTRUCTIONS.