HomeMy WebLinkAbout10-28-11 (2)'~~, --e--~.~ _ _ _
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"; 1N4TIr~~ ~F INHERITANCE TAX Pennsylvania ~
BUREAU DF INDIVIDUAL TAxES ~~~~~'S~M~N~"r`'l1LLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX DEPARTMENT OF REVENUE
PO BOX 280601
HARRISBURG PA 1 7128-060 1 of . 4 n ~.7- '' O ^' ~ ~ REV-1547 IX AFP C12-10)
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BENJAMIN J BUTLER
500 N 3RD ST
PO BOX 1004
HBG PA 17108
DATE 10-10-2011
ESTATE OF MURICEAK JAMES D
DATE OF DEATH 09-12-2010
FILE NUMBER 21 10-1040
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 12-09-2011
(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 ~ --R_ETA_IN-LOWER POR_TION
- - - ---------
FOR YOUR RECORDS E~
REV-1547 EX AFP C12-
_
10) NOTICE OF INHERITANCE TA ----- -
X AP
DISALLOWANCE OF DEDUCTIONS AN
ESTATE OF: MURICEAK PRAISEMENT, ALLOWANCE
D ASSESSMENT OF TAX
-----------------
OR
JAMES
DFILE N0.:21 10-1040 ACN: 101
DATE
TAX RETURN WAS: C X) ACCEPTED AS FIL
ED : 10-10-2011
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN C ) CHANGED
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B) (1) .00 NOTE: To ensure proper
3. Closely Held Stock/Partnership Interest (Schedule C) (2) 4 2.44 credit to your account,
4. Mortgages/Notes Rieceivable (Schedule D) C3) .00 submit the upper portion
f
5. Cash/Bank Deposits/Misc. Personal Propert
(S (4)
.00 o
this form with your
tax payment.
y
chedule E)
6. Jointly Owned Property (Schedule F) (5) 4 9,
54 9.80
7. Transfers (Schedule G) (6) .00
8. Total Assets (7) 919,496.50
APPROVED DEDUCTIONS /~ND EXEMPTIONS: (B) 969.088 74
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I) (9)_ ~_71F: 7
11. Total Deductions (lo) .00
12• Net Value of Tax Return (11) 5,715.13
13. Charitable/Governmental Bequests; Non-elected 9113 T C12) 96 3,3 73.61
rusts
14. Net Value of Estate Subject to Tax (Schedule J)
(13) .00
NOTE: If an assessment was issued previousl
l (14) 963,373 61
y,
ines
reflect figures that include the total 14,
~
7 and 19 will
of ALL
ASSESSMENT OF TAX: returns assessed
to
c1 a
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate (15) 963, 373.61 )( 00 = . 00
17. Amount of Line 14 8t Sibling rate (16) DD X 04 5 =
. 00
(17)
18. Amount of Line 14 taxable at Collateral/Cl DD X 12 .00
ass B rate C18)
19. Principal Tax Due .00 X 15 =
TAX CREDITS:
(19)° .00
PAYMENT RECEIPT .00
DATE DISCOUNT (+)
NUMBER INTEREST/PEN PAID (-)
AMOUNT PAID
~ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX PAYMENT
BALANCE OF TAX DUE •00
.00
INTEREST AND PEN. .00
TOTAL DUE .00
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YDU MAY BE DU '
A REFUND. SEE REVERSE SIDE OF' THIS FORM FOR INSTRUCTIONS.