HomeMy WebLinkAbout06-06-11 (2)BNHERITANCE TAX DIYISION
PO BOX 280601
pA 17128-0601
TICE OF INHERITANCE TAX
r,~ r~~,~~~"' NT, ALLOWANCE OR DISALLOWANCE
TAx ~, ~.~R1~p~UCTIONS AND ASSESSMENT OF TAX
R~ ~{~acr1 ~,~ IS
Pennsylvania r .
DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-10)
HARRISBURG
~.(3i ! ~U~ -6 ~~~ 12~ !
CLERK ~ U~
ND Gp„ PA
NY S ABA k~~
ANTHO
91 LONGWOOD DR PA 17050-7978
MECHANICSBURG
DATE 05-30-2011
REMALEY JR ROBRT M
ESTATE OF
DATE OF DEATH 05-08-2010
FILE NUMBER 21 10-0558
CUMBERLAND
COUNTY
ACN l0a
APPEAL DATE: 07-29-2011
(See reverse side under Objections )
Amount Remitte d
MAKE REGISTER OF WILLNS REMIT PAYMENT T0:
1 COURTHOUSE: SQUARE
CARLISLE PA 17013
~ RETAIN LOWER PORTION FOR YOUR-RECD ALLOWANCE OR
C_UT_ ALON6_-THIS-_LINE__'i-------------------------------------- ---- --
REV-1547 EX AFP C12-11,0)DISALLD OF INHERITANCE TAX APPRAISEMENT,
yJANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DATE: 05-30-2011
..,.noT MFILE N0.:21 10-0558 ACN: 101
.-.~~ nr. oFMALEY J
CJ 1 M ~ a•_
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
ORIGINAL RETURN
APPRAISED VALUE OF R TURN BASED ON:
1. Real Estate (Schedule A)
2. Stocks and Bonds ',(Schedule B)
3. Closely Held Stodk/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D) (Schedule E)
5. Cash/Bank Deposits/Misc. Personal Property
6. Jointly Owned PrbPerty (Schedule F)
7. Transfers (Schedule G)
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax Payment.
(B) 61 315.00
B. Total Assets
EDUCTIONS AND EXEMPTIONS:
H)
7 800.0
APPROVED D
al Expenses/Adm. Costs/Misc. Expenses (Schedule 1 b62.00
(10)
9. Funer
Debts/Mortgage Liabilities/Liens (Schedule I)
10 (11) 4,462.00
00
853
56
.
11. Total Deductions c12)
(13) .
,
, p0
Non-elected 9113 Trusts (Schedule .1)
12. Net Value of Ta~C Return (14) 56,853.00
13. Charitable/Govel,rnmental Be4uests; il
Net Value of Esltate Subject to Tax
14
15 and/or 16, 17, 18
14
and 19 w
.
,
da e
an assessment was issuedpreviouslY, lines
f ALL returns ass
f
•
NOTE: I
res that include the total o
~ 00
lu
reflect fi 00 X 00 .
ASSESSMENT OF TAX:
14 at Spousal rate (15)
c16) ~6 s~; _ on x 045 2,558.00
15. Amount of Line
f Line 14 taxable at Lineal/Class A rate
Q1L X 12 =
7) . p0
16. Amount o
14 at Sibling rate (1
.00 X 1 5 = .00
17, Amount of Line
t Collateral/Class B rate (18)
(19)=
2,558.00
lg, Amount of Line'.. 14 taxable a
19. Principal Tax !.Due
TAX CREDITS: DISCOUNT (+) AMOUNT PAID
PAYMENT ',RECEIPT
NUMBER INTEREST/PEN PAID (-)
DATE 10 . O 0
03-29-2011 D014208 .00
05-23-2011 BADJUST
.28
TOTAL TAX PAYMENT 2,558.00
.00
BALANCE OF TAX DUE ,00
IN ET REST AND PEN. ,00
TOTAL DUE
* FORPCALCULATIONAOf~ ADDITIONAL INTERESTRSE
IF REFUND.DSEEIREVERSE:CSIDEAOFATHISEFORM FOR)INSTRUCTIfDUE
A
.00
cl) , 00
(z) .00
(3) , p0
(4)
51,315.00
(5) .00
(6) , 00
C7)