HomeMy WebLinkAbout10-28-11 (3)BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
RICHARD C SN~LBAKER
44 W MAIN ST
PO BOX 318
_ __ ._ ,
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,~~-~~~r-- NOTICE OF INHERITANCE TAX Pennsylvania ~
4,!~'~'~~'~4~~~i ;~~rL~41ANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
QF~~DEfi1UCT~041S~ Q4ND ASSESSMENT OF TAX REV-1547 EX AFP (12-10)
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MECHANICSBURG PA 17055-0318
DATE 10-18-2011
ESTATE OF GROUSE ROSELYN B
DATE OF DEATH 11-29-2010
FILE NUMBER 21 10-1208
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 12-17-2011
(See reverse side under Objections)
A~eount Re~eitted
MAKE CHECK PAYABLE AHD REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
T ALONG THIS LINEN
~-1- RETAIN LOWER PORTION 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: GROUSE I ROSELYN BFILE N0.:21 10-1208 ACN: 101 DATE: 10-18-2011
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGFn
APPRAISED VALUE OF ETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Sch~dule A)
2. Stocks and Bonds ',(Schedule B)
3. Closely Held Stork/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposii~s/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS U1ND EXEMPTIONS:
9. Funeral Expenses~Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule U
C1) 230,000.00 NOTE: To ensure proper
C2) .00 credit to your account,
(3) .00 submit the upper portion
of this form with your
C4) .00 tax payment.
C5) 83,500.83
c6) .00
cn .00
Cs) 313 , 500 83
C9)-- 9 4 7
cloy- 383.73
11. Total Deductions..
12• Net Value of Tax jReturn C11) 9,908.30
13. Charitable/Governmental Bequests; Non-elected 9113 Tr
t C13~
( 30 3,592.5 3
14. Net Value of Estate Subject to Tax us
s Schedule J) •00
C14) 303.592.53
NOTE: If an assessw~ent was issued previously, lines 14, 15 and/or 16
17 18
reflect ffgur~es that include the total
of ALL ,
,
returns
and 19 will
ASSESSMENT OF TAX: ' assessed to d ate.
15. Amount of Line 14'at Spousal rate C15) 00
00 =
16.
Amount of Line 14'taxabl
t .
X .00
e a
Lineal/Class A rate (16) 303
9 ?
17.
Amount of Line 14 j at Sibling rate .
~ X 04 5 = 13,
661.66
18.
Amount of Li
1
' Cln nn x 12 = .00
ne
4
, taxable at Collateral/Class B ra te (18) .00
15 -
19. Principal Tax Duel X
- .00
TAX CREDITS:
C19)=
13,661.66
-~~~-••• Rc~,gari I DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-)
07 2011 CD01 984 683.08
IF PAID AFTER DATE INDI~ATED, SEE REVERSE
FOR CALCULATION OF ADDIT1iIONAL INTEREST.
AMOUNT PAID
,000.
TOTAL TAX PAYMENT 14,683.08
BALANCE OF TAX DUE 1,021.42CR
INTEREST AND PEN. .00
TOTAL DUE 1,021.42(
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.