HomeMy WebLinkAbout10-28-11 (2)"O rt~~r ~-~}~FCE TAX Pennsylvania
BUREAU OF INDIVIDUAL TAXES APPRAISEM~JkLL~j~j~}A+N~`'f[,o#~'
INHERITANCE TAX DIVISION ~ r F,r DISALLOWANCE DEPARTMENT OF REVENUE
PO BOX 280601 OF DEDUCt'~L~S ~p~;-A'~h~~SMENT OF TAX
HARRISBURG PA 17128-0601 REV-1547 EX AFP (12-10)
JAMES D BOGAR
1 W MAIN ST
CAMP HILL
r,a~ f ~~ ~
DATB'~ 10-10-2011
ESTATE OF SEBOLT RICHARD W
C!_E^'~ (~r DATE OF DEATH 10-06-2010
'"' i
' ~^` `~ `~~~ ,,I,~~E NUMBER 21 10 -1057
e~' 4'-'~-~ ~-~ .~ a_! (~CO~TY CUMBERLAND
ACN 101
PA 17011-6327 APPEAL DATE: 12-09-2011
(See reverse side under Objections)
Aoount Resitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT-ALONG THIS LINE ~-~! --R_E_TA__IN_-L_O_W_ER POR_TION_ FOR YOUR RECORDS •--•
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REV-1547 EX AFP C12-'10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
-----------------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SEBOLT RICHARD WFILE NO.:
21 10-1057 ACN: 101 DATE:
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED 10-10-2011
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate CSche~dule A)
2. Stocks and Bonds (Schedule B) C1) 1 24,3 75.00 NOTE: To ensure proper
3. Closely Held Stock/Partnership Interest (Schedule C) (2) .00 credit to your account,
4. Mortgages/Notes Receivable (Schedule D) (3) .0 0 submit the upper portion
C4) of this form with your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) ~5) 6, .00 tax payment.
6. Jointly Owned Property (Schedule F) 309.56
7. Transfers (Schedule G) (6) .00
8. Total Assets
APPROVED DEDUCTIONS /#ND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12- Net Value of Tax Return
13. Charitable/Governmental Bequests;
14. Net Value of Estatie Subject to Tax
c7) 1'T, 290.29
ce) 147.974 85
C9) I_6 7 0 19
clo) 111,410 65
Non-elected 9113 Trusts (Schedule J)
NOTE: If an assesssent was issuedprevfously, lines 14, 15
reflect figures that include the total of ALL return
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
DATE I I ~~~uuuni c+)
NUMBER INTEREST/PEN PAID C-)
INTEREST IS CHARGED THROUGH 10-25-2011
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
~ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIWNAL INTEREST.
AMOUNT PAID
00 = .00
045 = 891.63
12 = .00
15 = .00
c19)= 891.63
TOTAL TAX PAYMENT
BALANCE OF TAX DUE •00
891.63
INTEREST AND PEN. 8.12
TOTAL DUE I 899.75
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DU
A REFUND. SEE REVERSE SIDE OF' THIS FORM FOR INSTRUCTIONS.
cll) 128,160.77
c12) 19,814.08
c13) . 00
C14) 19,814 08
andlor 16, 17, 18 and 19 will
s assessed to date.
(15) . 00 X
C16)_ 19 8]G 08 X
nn- oo x
c16) , 00 X