HomeMy WebLinkAbout06-06-11$NHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17126-0601
RICHARD P
STE 208
I W HIGH
CARLISLE
TAXES
NOTICE OF INHERITANCE TAX
u ALLOWANCE OR DISALLOWANCE
~~.~(~1~i{~ IONS AND ASSESSMENT OF TAX
0~!~IAN'S O/~URT
M I S L ~~~-~~ 1,i0.. pA
ST
PA 17013
Pennsylvania ~ •f~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-10)
DATE 05-30-2011 DORIS ~
ESTATE OF WHITCOMB
DATE OF DEATH 06-30-2010
FILE NUMBER 21 10-0715
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 07-29-2011
(See reverse side under Objections )
Amount Remitted
MAKE REGISTER OFB WILLSD REMIT PAYMENT T0:
1 COURTHOUSE: SQUARE
CARLISLE PA 17013
ALONG THIS LINE__'___ ~ __RETAINHERITANCER TAX APPRAISEMENT,OALLOWpNCE OR
CUT __ __ _
REV-1547 EX AFP (12']10) NOTICE OF IN ACN: 101 DATE: 05-30-2011
DISALLOWANCE OFF LDE NO ON2 ANOD U 15 SSMENT OF T
DORIS ~
ESTATE OF: WHITCOMB ) ACCEPTED AS FILED C ) CHANGED
TAx RETURN WAS` c ORIGINAL RETURN
APPRAISED VALUE OF R TURN BASED ON:
1. Real Estate CScheldule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes ~teceivable (Schedule D)
5. Cash/Bank Deposilts/MiscCSchedulelF)roperty (Schedule E)
(,. Jointly Owned Property
7. Transfers CSche~ule G)
g. Total Assets
APPROVED DEDUCTIONSII AND EXEMPTIONS:
9. Funeral ExPense¢/Adm• Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule L)
t 1 Deductions
387,500.00
cl) 168,918.07
c2) .00
c3) .00
C4)
'75,022.72
c5) .00
c6) .00
C7)
NOTE: To ensure Proper
credit to your account,
submit the upper Portion
of this form with Your
tax payment.
cB) 631 440.79
zn.751.3$
c9) 239.40
C10)
11. To a
12. Net Value of Tex Return
Bequests; Nonelected 9113 Trusts (Schedule
53,990.78
cll) 577,450.01
c12) , 00
(13)
c14) 577 450.01
13. Charitable/GovBrnmental
14. Net Value of Estate Subject to Tax
went was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 wil
NOTE: If an asses
reflect fibures that include the total of ALL returns assessed to da e' 00
.00 x 00
ASSESSMENT OF TAX:', (15) x 045 = 25,985.25
(16) S77 45p 00 .00
15. Amount of Line 14 at Spousal rate _ 00_ X 12 =
16. Amount of Line1 14 taxable at Lineal/Class A rate C17) .00
.00 x 15 =
17, Amount of Lin$ 14 at Sibling rate (19)= 25,985.25
lg. Amount of Lin 14 taxable at Collateral/Class B rate (18)
1g. Principal Tax', Due
TAX CREDITS: DISCOUNT (+) AMOUNT PALD
RECEIPT
pAYMEN7 INTEREST/PEN PAID C-) 28,277,00
DATE NUMBER 1 , 299.26
no_99-2010 D013396
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
~ IF PAID AFTER DAT,F ADDITIONAL INTERESTRSE
FOR CALCULATION Q
29,576.26
3,591.O1CR
.00
3,591.O1CR
AFREFUND.DSEEIREVERSECSIDEAOFATHISEFORM FOR)INSOTRUCTIONS,DUE