HomeMy WebLinkAbout06-06-11' NHERITANCE TAX Pennsylvania ~
NOTICE OF I
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BUREAU OF INDIVIDUAIC.¢d-R~'l_'_~~ DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION (')~f}fv'T~'~ ,y,,.. ~~~ ~. J
PO BOX 280601 fl[~.;,1 l
HARRISBURG PA 17120-0601 DATE 05-23-2011 M
A
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Vflr(Yy`~,~7 Wert:
ROGER B G~~bl~~imRLANO ~~~ ~`
60 W POMFRET ST PA 17013
CARLISLE
PRI(:E VIOL
ESTATE OF
DATE OF DEATH 12-29-2010
FILE NUMBER 21 11-0371
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 07-22-2011
(See reverse side under Objections )
A.ount Rs~eftted~
MAKE REGISTER OF WILLNS REMIT PAYMENT T0:
1 COURTHOUSE SQUARE
CARLISLE PA 17013
~ RETAIN LOWER PORTION FOR YOUR__R_E_C_O_RDS. ~ ___________________
---'""'"--~ ALLOWANCE OR
CUT ALONG_THIS_LINE___________________
REV-1547 EX AFP C12-10)DISALLOWANCENOFRDEDUCTIONS ANDRASSESSMENT OF TAX DATE: 05-23-2011
vrniA MFILE N0.:21 11-0371 ACN: 101
ESTATE OF: PRICE
TAX RETURN WAS: C
X) ACCEPTED AS FILED
ORIGINAL RETURN
APPRAISED VALUE OF RETURN BASED ON:
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 Property (Schedule F)
7. Transfers (Schedule G)
( ) CHANGED
.00 NOTE: To ensure proper
C1) credit to your account,
(2) submit the upper portion
.00 of this form with your
C3) .00 tax payment.
c4) .00
C5)
12,435.32
(6) .00
(7)
12 435.32
(B)
g. Total Assets
9.1/1.81.
APPROVED DEDUCTIONS AND EXEMPTION = 1 483.00
nses/Adm. Costs/Misc. Expenses (Schedule H) (10)
9. Funeral Expe
/Mort9a9e Liabilities/Liens (Schedule I)
t
(11) 3,644.81
s
10. Deb 8,790.51
11. Total Deductions (12)
(13) , 00
12. Net Value of Tax Return
nmental Be4uests; Non-elected 9113
Trusts (Schedule J.~
(14) 8 79 0.51
13. Charitable/Gover
Net Value of Estate Subject to Tax
4
~
~
n
and 19 wil
.
1
assesswent was issued previously. d to
to
assessed
ALL lre~turns
i
an
NOTE: If
flect figures that include the total f
__
o
.00
re
ASSESSMENT OF TAX:
14 at Spousal rate ,p0 X 00
c15)
6) 8 790 . S1 x 045 - 395.57
15. Amount of Line
f Line 14 taxable at Lineal/Class A rate C1
7)
-00 x 12 , 00
16. Amount o
14 at Sibling rate C1
.00 X 15 = .00
17. Amount of Line
c19)_
Collateral/Class B rate (18)
395.57
lg. Amount of Line 14 taxable at
19. Principal Tax Due
TAX CREDITS: DISCOUNT (+) AMOUNT PAID
PAYMENT RECEIPT
NUMBER INTEREST/PEN PAID (-)
DATE 19.78
-22-2011 CD014169
TOTAL TAX YAPTpX Ypp MENT 395.57
--- .00
BALANCE OF TAX DUE ,00
INTEREST AND PEN. ,00
TOTAL DUE
~ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
AF REFUND.DSEEIREVERSE('SIDEAOFATHISEFORM FOR)INSTRUCTIONS DUE