HomeMy WebLinkAbout10-07-114,
BUREAU OF INDIVIDUAL TAXES
INHERITANCE 7AX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
~ t~J~,F6E QF INHERITANCE TAX
~~E~~~Ty~LLOWANCE OR DISALLOWANCE
`~D•F,..D~~U~1~~(~S AND ASSESSMENT OF TAX
,+n r
i .~. '~;
CLE~'K C
DAVID SIMMONA
10 E HIGH ST
CARLISLE PA 17013
Pennsylvania ;t
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-10)
DATE 10-03-2011
ESTATE OF ROSAR
DATE OF DEATH 01-11-2D10 ROMAINE A
FILE NUMBER 21 10-1014
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 12-02_2011
(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 _ y --RETAIN-LOWER PORTION FOR YOUR RECORDS f-•
REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWAN
-----------------------CE-OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: ROSAR
ROMAINE AFILE N0.:21 10-1014 ACN:
TAX RETURN WAS: ( ) 101 DATE: 10-03-2011
APPReTCFn vw, n.- .. X ACCEPTED AS FILED ( ~ ru~u...-,.
----" "~ R°' uRn isASED 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)
C1)
C2) 'D0
84 8
21 NOTE: To ensure
proper
c
. redit to
Your account,
C3) ,DD submit the upper portion
(4) .0 0 of this form with your
tax payment.
(5) .00
(6) . DO
c7) .00
(B) 848.21
(9) 00
11. Total Deductions (10) •0 0
12. Net Value of Tax Return (11)
13. Charitable/Governmental Bequests; Non-elected 9
(lz) •00
848
21
14. Net Value of Estate Subject 113 Trusts
to Tax (Schedule J) (13) .
NOTE: If an assessment was
issued previousl
(14) .00
848'21
reflect figures that
ASSESSMENT y,
include the total
fi and
~
7 19 will
OF TAX:
15 o
ALL returns asses sed
to
d e
. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at (15)
Lineal/Class A rat 84 8'21 X 00 =
DO
17. Amount of Line 14 at Sibling e
rate (16) ~o X 045 = •
18. Amount of Line 14 taxable at
19
P
Collateral/Class B
~~
X 12 = .00
00
.
rincipal Tax Due rate (lg) .00 X 15 = .
TAX CREDITS: .00
PAYMENT
RECEIPT (19)=
. 0 0
DATE NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
TOTAL TAX PAYMENT
BALANCE OF TAX DUE •00
INTEREST AND PEN. •00
.00
* IF PAID AFTER DATE INDICATED, SEE REVERSE TOTAL DUE .00
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.