HomeMy WebLinkAbout10-28-11 (3)~p NOTICE OF INHERITANCE TAX Pennsylvania ~
BUREAU OF INDIVIDUAL TAXES ('r¢ r~,5"'~ P'F~'A1I`5~~~-'N ~ ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ill t''.. ~~ b~'D,~C1~DN$ AND ASSESSMENT OF TAX
PO BOX 280601 ~ !,~~ REV-1547 EX AFP (12-10)
HARRISBURG PA 1 7128-0601 r~~.`. ... _. --'~
i
CLER~t i~
BENJAMIN J B TLER ~~~~~~+~,~~~°'~T
500 N THIRD T
PO BOX 1004
HARRISBURG ii PA 17108
I
DATE 10-18-2011
ESTATE OF SABELLA DOMINICK C
DATE OF DEATH 05-02-2010
FILE NUMBER 21 10-0496
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 12-17-2011
(See reverse side under Objections)
Aatount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT-ALONG-THIS-LINE _ 1 R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS ~
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REV-1547 EX AFP C12-10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SABELLAI'I DOMINICK (FILE NO •21 10 0496 ACN:
101 DATE: ln-)R_~ni~
APPRAISED VALUE OF ETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Pr perty (Schedule F)
7. Transfers (Sched le G)
cl) 120,000.00
c2) .00
c3) .00
c4) .00
c5) 29, 042.66
c6) .00
cn .00
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
8. Total Assets
APPROVED DEDUCTIDNS AND EXEMPTIONS: C8} .149,042 66
9. Funeral Expenses Adm. Costs/Misc. Expenses (Schedule H) ~q) S. 16 1L•
10. Debts/Mortgage Liabilities/Liens [Schedule I) (10) 68 2 0 2
11. Total Deductions
12. Net Value of Tax
Return C11) 28,798.16
13. Charitable/cover
mental Bequests; Non-elected 9113 Tr
t (12)
(S 120,244.50
14
Net V
l us
s chedule J) (13)
•00
.
a
ue of Est to Subject to Tax
c14) 120,244.50
NOTE: If an assess aent was issued previously, lines 14, 15 and/or 16
17
reflect figu
res that include the total of ALL ,
,
returns
and 19 will
ASSESSMENT OF TAX: assessed to d t
15. Amount of Line i at Spousal rate (15) 00
00 =
16. Amount of Line 1
t
bl .
X .00
axa
e at Lineal/Class A rate C16) 190
44 ~
17. Amount of Line 1
at Sibling rate __
,
0 x 045 = 5,411.00
18
Amount
f Li (17) -00 X 12 =
.
o
ne 1 taxable at Collateral/Class B rate C18) 00
15 =
19. Principal Tax Due .
X .00
TAX CREDITS: (19)=
5,411.00
PAYMENT REC EIPT DISCOUNT (+)
DATE NU BER INTEREST/PEN PAID (-) AMOUNT PAID
07-22-2010 CDO 3083 263
16
02-01-2011
CDO
3974 . 5,000.00
.00 1,348.81
* IF PAID AFTER DATE INDIIATED, SEE REVERSE
FOR CALCULATION OF ADDI IONAL INTEREST.
_ _ _ __ -
TAX RETURN WAS: (X) ACCEPTED AS FILED
C ) CHANGED
TOTAL TAX PAYMENT 6,611.97
BALANCE OF TAX DUE 1,200.97CR
INTEREST AND PEN. .00
TOTAL DUE 1,200.97CR
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.