HomeMy WebLinkAbout10-28-11 (3)BUREAU DF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 260601
HARRISBURG PA 17128-0601
RICHARD C SN~LBAKER
44 W MAIN ST '',
PO BOX 318
~` {~,NOTIC,E I~O,~~}}~~ERITANCE TAX pennsylvania ~
APP~~u,~g.'~~I~N'i'~i IJ~~~WOANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
OR °~1D~DUDT'~ION~!„ A~D ASSESSMENT OF TAX REV-1547 EX AFP c12-lo)
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MECHANICSBURG, PA 17055
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
10-18-2011
PAGE ANNA E
02-18-2011
21 11-0271
CUMBERLAND
ACN 101
APPEAL DATE: 12-17-2011
(See reverse side under Objections)
Asount Re~aitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SpUARE
CARLISLE PA 17013
CUT ALON_6 THIS LINE _ ---- R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS ~ _ ___________
-+- ____
REV-1547 EX AFP (1210) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: PAGE ANNA EFILE N0.:21 11-0271 ACN: 101 DATE: 10-18-2011
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF ETURN BASED ON: ORIGINAL RETURN
1. Real Estate CSch~edule A)
2. Stocks and BondsllCSchedule B)
3. Closely Held Sto~Ck/Partnership Interest (Schedule C)
4. Mortgages/Notes ~teceivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Pr~perty (Schedule F)
7. Transfers CSched le G)
8. Total Assets
APPROVED DEDUCTIONS',AND EXEMPTIONS:
9. Funeral Expenses~Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Ljiabilities/Liens (Schedule I)
cl) .00
~2) 1 , 093.88
C3) .00
c4) .00
C5) 84,560.66
C6) .00
n) .00
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
c8) 85.654.54
C9) .8b7.77
Clo) 208.05
11. Total Deductions', C11) 13, 075.82
12. Net Value of Taxl~ Return C12) 72,578.72
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J] (13) .00
14. Net Value of Estate Subject to Tax C14) 72,578.72
NOTE: If an asses~a~ent was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect ffg~res that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line l~i at Spousal rate C15) .00 X 00 - .00
16. Amount of Line lei taxable at Lineal/Class A rate C16) 7? . X78 . 79 X 045 = 3, 266.04
17. Amount of Line 14 at Sibling rate C17) .00 X 12 = .00
18. Amount of Line lei taxable at Collateral/Class B rate (18) .0 0 X 15 - .00
19. Principal Tax Due C19)= 3,266.04
TAX CREDITS:
PAYMENT RE EIPT DISCOUNT (+)
DATE N MBER INTEREST/PEN PAID C-) AMOUNT PAID
05-04-2011 CDO 4401 131.58 2,500.00
07-08-2011 CDO 4680 .00 641
04
10-11-2011 REF~ JND .00 .
6.58-
TOTAL TAX PAYMENT 3,266.04
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE IND~CATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE D~
FOR CALCULATION OF ADD TIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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