HomeMy WebLinkAbout10-07-11~ ,~
R~{ ~~~'~ ~'"' '~''~'1,8 OF INHERITANCE TAX
B HERITANCE TAXDDIVISIONL TAXES F -~A~s~h~~ ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~~`~ bF ~~~.~~I~ONS AND ASSESSMENT OF TAX
HARRISBURG PA 17128-0601
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CL.E~K ~f
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KARL E ROMINGER ~`~rf"~ {"~~ ~Q
155 S HANOVER ST
CARLISLE PA 17013
Pennsylvania-';
DEPARTMENT OF REVENUE
REV-1547 EX AFP Q 2-10)
DATE 10-03-2011
ESTATE OF BYERS
DATE OF DEATH 07-03-2010 LESLIE J
FILE NUMBER 21 10-0755
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 12_02_2011
(See reverse side under Objections)
Aaount Repftted
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, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: BYERS
LESLIE JFILE N0.:21 10-0755
ACN: 101 DATE: 10-03-2011
TAX RETURN WAS: (X) ACCEPTED AS FILED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN ~ ) CHANGED
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)
cl) 35, 000.00
NOTE: To ensure proper
c2) 4,437.16 credit to your account,
C3) .00 submit the upper portion
C4) .00 of this form with your
C5) 21,264.26 tax payment.
c6) .00
c7) .00
~$) 60 701.42
(9)- 9 961 87
11. Total Deductions C10) 3 5 93 0
12. Net Value of Tax Return
13. Charitable/Govern
(11)
1 3,555.07
mental Bequests; Non-elected 9113 T
14. Net Value of Estate S rusts (12)
(Schedule J) 47, 146.35
ubject to Tax c13) 100.00
NOTE: If an assesswtent was issued previousl C14) 47 046.35
reflect figures that
ASSESSMENT OF TAX y,
include the total of iALL ~
7
l and 19 will
:
15. Amount of Line 14 at Spousal returns assessed
to
da
te
16. Amount of Line 14 taxable at rate
Lineal/Class A
C15)
'00 X 00 =
17. Amount of Line 14 at Sibling rate
rate C16) - 47 OU6 ;S
x 045 = • 00
18. Amount of Line 14 taxable at
19
P
Collateral/Cla
~~ X 12 = 2,117.09
00
.
rincipal Tax Due ss B rate C1B) .00
15 •
TAX CREDITS: X
= .00
PAYMENT
RECEIPT C19)=
2, 117.09
DATE DISCOUNT (+)
NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
-20-2011 CD014609
.00
,iii.
BALANCE OF UNPAID INTEREST/PENALTY AS OF 06-21-2011 TOTAL TAX PAYMENT
BALANCE OF TAX DUE 2,117.09
INTEREST AND PEN. •00
13.54
* IF PAID AFTER DATE INDICATED, SEE REVERSE TOTAL DUE 13.54
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.