HomeMy WebLinkAbout09-26-11BUREAU OF INDIVIDUAL TAXES r r,rl~r,_r ,._~'
INHERITANCE 7Ax ~~L APPit/4~ ~ff E OF INHERITANCE T
PO BOX 280601 DIVISION ~;G, , ALLOWANCE OR AX P~nnS
NARRISBURG PA 1 7128-0601 ~ ~~ •,~ ~F DE IONS DISALLOWANCE Ywania
AND ASSESSMENT OF TAX gEPARTMENT OF REVENUE •
• ~.l ~ ~ J!W ~ ~ ~ ~' '1 ~ i R~'1547 EX AFP C32-10)
DATE 09-19-2011
CLERK QF ESTATE OF IRWIN
Q{~,p~~`S CQ~s~T DATE OF DEATH 12-23_2010 RICHARD g
ROGER B IRWIN Cl1MF3~-~1f~~,~l~ ~() PA FILE NUMBER 21 11-0522
60 W POMFRET ST COUNTY CUMBERLAND
CARLISLE ACN
PA 17013- APPEAL D O1
6222 ATE:
(See reverse side under Qbl B - 2 011
Aaount Reeitted !actions)
MAKE CHECK PAYABLE
REGISTER OF WILLSD RIEM~IT PAYMENT T0:
1 COURTHOUSE SQUARE
CUT ALONG THIS LINE CARLISLE PA
REV-1547 EX AFP " '-- ~__RETAIN 17013
C12-10~ _ _LOWER POR__T_ION_ FOR
NOTICE OF INHERITANCE YOUR RECORDS
ESTATE OF. DISALLOWANCE OF DEDUCTIONS ANpRAISEMENT, ALLOWS OiR
IRW1N ASSESSMENT
RICHARD BFILE OF TAX
N0.:21 11-0522
APPRAISED Tax RETURN was: ACN: 101
VALUE OF RETURN (X) ACCEPTED AS FILED ( ) SATE: 09-19-2011
1 • Real Estate (Schedule A) BASED ON: ORIGINAL ~NaNGED
2• Stocks and Bonds (Schedule g) RETURN
3. Closely Held Stock/partnershi C1) .00
4• Mort P Interest (2) NOTE: To ensure proper
gages/Notes Receivable (Schedule C) •00 crgdit
5• Cash/Bank De (Schedule D) (3) ,00 submit theyour account,
Posits/Misc. Personal upper portion
6• Jointly Owned Pro ProPert (4) .00 of this form
party [Schedule F) y (Schedule E) (5) with Your
7• Transfers (Schedule G) 32,192.77 tax payment.
B• Total Assets (6) .00
APPROVED DEDUCTIONS AND C7) .00
g• Funeral EXEMPTIONS:
Expenses/Adm, Costs/Misc. (B)
10. Debts/Mortgage Liabilities/Liens Expenses ~-- 32 1 92 77
(Schedule H)
11. Total Deductions (Schedule I) (9)
12. (10)
Net Value of Tax Return •00
13. Charitable/Governmental Bequests•
14. Net Value of , Non-elected 9113 (11j 2'262.50
Estate Subject to Tax Trusts (Schedule J) (12)
NOTE: 29,930.27
If an assessee (13)
reflect nt was issued previously, •DO
f3~ures lines (14) 29,930.27
ASSESSMENT OF TAX: that include the 14, 15 and/or
1s, amount of total of A-~ returns 16' 17' 1'B 'and
Line 14 at spousal rate assessed to 19 will
16. Amount of Line 14 taxable at Lineal/Class A rate date.
17. Amount of (15) 29, 930.
Llne 14 at Sibling rate (16) 2 7 X 00
18• Amount of Line 14 taxable at Collateral/Class B rate (1B x 045 = •DO
19. Princi al C17) .00
'X CREDITS:p Tax Due x 12 =
)
DATE
F PAID AFTER DATE INDICATED, SEE REVERSE
OR CALCULATION OF ADDITIONAL INTEREST.
NUMBER I DISCOUNT (~
INTEREST/PEN pAID (_)
.00 x 15 = •00
(19)= . 00
.00
AMOUNT PAID
TOTAL TAX PAYMENT
BALANCE OF TAX DUE •00
INTEREST AND pEN• •00
TOTAL DUE •00
IF TOTAL DUE IS REFLECTED AS .~ •00
a REFUND. SEE REVERSE SIDE OFA CREDIT'S
THIS FORM FOR) YOU, MAY BE DUE,
R INSTRUCTIONS.