HomeMy WebLinkAbout06-06-11 (2)__ _ _ _ __.___.,,a,~„
{ ~~rrCC//~~~ NOTICE OF INHERITANCE TAX
~~,~~f; C'~'~ii~RR1[ISEMENT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUA
INHERITANCE TAX DIVISION -r-rW + '' ~
Ids t M;, ~~~{ ~ DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601
HARRISBURG PA 17128-0601
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-10)
~~~ ~ ~~~ '6 ~t~i ~~~ :.3 DATE 05-30-2011
ESTATE OF BEAUDRY JACQUELIN C
~~~ ~ DATE OF DEATH 03-05-2010
ORPHAN'S C(JURT FILE NUMBER 21 10-1036
(('' ~~~~ C~
~ COUNTY CUMBERLAND
TRICIA D 'F `
r
" ACN 101
19 W SOUTH ST APPEAL DATE: 07-2 9-2011
C A R L I S L E P A 17 013 (See reverse side under Objections )
A~eount Re~itted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS !-'~
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REV-1547 EX AFP C12-10) NOTICE OF INHERITANCE
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TAX APPRAISEMENT, ALLOWANCE --------------
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OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: BEAUDRY JACQUELIN (FILE N0 .:21 10-1036 ACN: 101 DATE: 05-30-2011
TAX RETURN WAS: CX) ACCEPTE D AS FILED C ) (:HANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) •~~ NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2)
credit to your account.
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) •~~ tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 4 5,8 61.73
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) C7) .00
s. Total Assets C8) 45.861.73
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 3.772.50
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 8 9,307.24
11. Total Deductions C11) 93, 079.74
12. Net Value of Tax Return C12) 47,218.01-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 47,218.01-
NOTE: If an assess~ent was issued previously,
reflect figures that include the total
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns assessed to date.
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
cls) .00 x 00 = .00
n6) . on x 045 = . 00
n7) . oo x 12 = . 00
cls) .00 X 15 = .00
c19)= .00
P DATE T I NUMBER INTEREST/PEN PAID (-) I AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE Dl
FOR CALCULATION OF ApDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.