HomeMy WebLinkAbout10-28-11 (3)+-~ ~QT~~,~,~j'Ft, RITANCE TAX
~~~~"~ ,~~'~~'~~ Pennsylvania ~
BUREAU OF INDIVIDUAL TAXES APPRA~.E,~T~,r L~LI:!OMtANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISIDN OF I~Eb~I~YIO'NS~ ~kl~ ASSESSMENT OF TAX
PO BOX 280601 REV-1547 EX AFP (12-10)
HARRISBURG PA 17128-0601 n rr
DATE 10-10-2011
r!.~P~ ~~ ESTATE OF JOHNS THOMAS T
~~~f_~~;~•` vr'~~T DATE OF DEATH 01-24-2010
C~i~.i~~,~ri..1ti`~1,i ~ FILE NUMBER 21 11-0696
. ~ '~" P'A COUNTY CUMBERLAND
THOMAS J JOHNS ACN 101
330 CHARLES RD APPEAL DATE: 12-09-2011
MECHANICSBURG PA 17050 (Seerevers~esideunderObjections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ---- ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
--------- -----------------------------------
ALLOWANCE OR
REV-1547 EX AFP C12-lO~DISALLOWANCENOFRDEDUCTIONS ANDRASSESSME
NT OF TAX
ESTATE OF: JOHNS THOMAS TFILE N0.:21 11-0696 ACN: 101 DATE: 10-10-2011
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) 14,850.00
NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) Cz) ,QO credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3] .00 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D) of this form with your
C4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) .00
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets
Cs) 14.850.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) fig) 9,600.00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10)_ 12.140.00
11. Total Deductions
12. Net Value of Tax Return X11) 21,740.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (12)
(Sched
l
J) 6,890.00-
14. Net Value of Estate Subject to Tax u
e
C13) .00
C14) 6,890.00-
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16
17
18
reflect figures that include the total
of ALL ,
,
a
returns assessed to date nd 19 will
ASSESSMENT OF TAX: .
15. Amount of Line 14 at Spousal rate (15) .0 0 X 00 = 00
16. Amount of Line 14 taxable at Lineal/Class A rate C16] _00 x 04 5 = .
17. Amount of Line 14 at Sibling rate
C17)
0 .00
_
0 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) 00
15 =
19. Principal Tax Due .
X .00
TAX CREDITS: C19)= .00
PAYMENT RECEIPT DISCOUNT (+]
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED .AS A "CREDIT" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.