HomeMy WebLinkAbout10-28-11 (3)~,~,. ,~.QT.~C$,.0~ INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES A~''°Ar'S+~M'E'N~,~`%~!-L ~OWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~I~~}',T.~1~.T-t0~1 LAND ASSESSMENT OF TAX
PO BOX 280601 °`'~ "" ' - r `' ' ~ ~
HARRISBURG PA 17128-0601
C~E~K CIS
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MARY C BELL ~ ~'~~" ` -` ' ~ ~ ~ yr
235 GREEN LADE DR
CAMP HILL ~I PA 17011
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-10)
DATE 10-18-2011
ESTATE OF BELL JEAN M
DATE OF DEATH 11-19-2010
FILE NUMBER 21 10-1186
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 12-17-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALON_6 THIS _LINEtt'~, _ ~ R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS ~ _ ___________
REV-1547 EX AFP C12t10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: BELL 'I JEAN MFILE N0.:21 10-1186 ACM: 101 DATE: 10-18-2011
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: DRIGINAL RETURN
1. Real Estate CSehedule A) C1) .00 NOTE: To
2.
Stocks and Bonds'I (Schedule B)
C2)
28, 371 .76 ensure proper
credit to your account,
3. Closely Held Sto~Ck/Partnership Interest (Schedule C) C3) .00 submit the upper portion
4.
Mortgages/Notes ~teceivable (Schedule D)
(4)
00 of this form with your
. tax payment.
5. Cash/Bank Deposii~ts/Misc. Personal Property (Schedule E) (5) 96,590.90
6. Jointly Owned Property (Schedule F) ~6) .00
7. Transfers CSched~le G) (7) .00
8. Total Assets c8) 124.962.66
APPROV ED DEDUCTIONSAND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Lq) 10.488.00
10. Debts/Mortgage L~fabilities/Liens (Schedule I) C10)_ 4.357.76
11. Total Deductions) (I1) 14,845.76
12. Net Value of Tax Return C12) 110, 116.90
13. Charitable/Gover}~mental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Value of Est~te Subject to Tax C14) 110,116.90
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17 , 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX: ',
15. Amount of Line l~i at Spousal rate (15) .00 X 00 - .00
16. Amount of Line l~
i taxable at Lineal/Class A rate C16) -00 X 045 =
00
17. LL
Amount of Line lqe at Sibling rate C17) 110.
~~ 116
X 12 .
= 13,214.03
18. Amount of Line l~i taxable at Collateral/Class B rate C18) .0 0 X 15 - .00
19. Principal Tax Du~ c19)= 13,214.03
TAX CREDITS:
n~~.~ari~L1S000NT (+)~
DATEDATE N~MBER INTEREST/PEN PAID (-) AMOUNTINTEREST/PEN PAID (-) AMOUNT PAID
07 06-2011 CDO 4663 .00 13,214.03
IF PAID AFTER DATE IND~CATED, SEE REVERSE
FOR CALCULATION DF ADD TIONAL INTEREST.
I
TOTAL TAX PAYMENT 13,214.03
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DU
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.