HomeMy WebLinkAbout10-28-11 (2)~~
~',''`~"~~~~ HERITANCE TAX
BUREAU OF INDIVIDUAL TAXES APF~R.~`~SE1+~EaN~r ~/I~ANCE OR DISALLOWANCE Pennsylvania ~
INHERITANCE 7AX DIVISION O~~+D~IDIi!~ Q ~~D ASSESSMENT OF TAX DEPARTMENT OF REVENUE
PO BOX 280601 ~. ~ ~~ i
HARRISBURG PA 17128-0601 REV-1547 EX AFP C12-10)
~ ~ ~ a i,« ~ t~~: 4; ~ DATE
10-10-2011
^f ESTATE OF MYERS KENNETH S
C~.~t~,: `, ~~ DATE OF DEATH 10 -18 - 2010
~tri~~-` J~~ ' t,'i1J'7T FILE NUMBER 21 10-1232
BRADLEY L GRIFFIE Ct,f41~ ~~~ ~1 ~`s~ r',. (;zt~ COUNTY CUMBERLAND
200 N HANOVER ST ACN 101
CARLISLE APPEAL .DATE: 12-09-2011
PA 17 013 (See reverse side under Objections)
AAtount Reuftted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
CUT_ALON6 THIS LINE y --R_ETA_IN-LOWER POR_TION_ FOR YOUR RECORDS ~---
REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: MYERS KENNETH SFILE NO.:
21 10-1232 ACN: 101 DATE:
TAX RETURN was: C X) ACCEPTED AS FILED ( ) CHANGED 1 0 - 1 0 - 2011
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B) C1) '00 NOTE: To ensure proper
3. Closely Held Stock/partnership Interest (Schedule C) C2) •00 credit to your account,
4. Mortgages/Notes Receivable (Schedule D) C3) ,QQ submit the upper portion
(4) of this form with your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 23,922.8 5 tax payment.
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G) C6) .00
C7) .00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: Ce) 23 922 85
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) ~ 7~ 9 ~~
10. Debts/Mortgage Liabilities/Liens (Schedule I)
(10)__1 044 72
11. Total Deductions
12. Net Value of Tax Return C11) 3,786.89
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13~ 20,1 35.96
14. Net Value of Estate Subject to Tax .00
NOTE: If an assesseQnt was issued previously, c14) 20.135 96
reflect figures that include the total ofiALL returns assessed~to d to and 19 will
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate (15) .00 X 00 = .00
17. Amount of Line 14 at Sibling rate C16) ?0 ) ~~ 96 X 045 =
906.12
18. Amount of Line 14 taxable at Collateral/Class B rate C18) ~ X 1 2 =
-- 'UO
19. Principal Tax Due .00 X 15 = _- ~~
TAX CREDITS: C19)° 906.12
PAYMENT RECEI T
DATE DISCOUNT C+)
NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
01-18-2011 CD013 02
10-03-2011 REFUND 45.31 945.00
.00 84.19-
TOTAL TAX PAYMENT
BALANCE OF TAX DUE 906.12
.00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DU
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.