HomeMy WebLinkAbout06-06-11BNHERI ANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
201! ,1UN -6 PN 12~ I :,
MURRELL WALTERS ',III
54 E MAIN ST
MECHANICSBURG PA
~~'.~~ ~~
E~~~-AND CQ , PA
17055
Pennsylvania i
DEPARTMENT OF REVENUE
REV-1547 IX AFP C12-10)
DATE 05-30-2011 PHYLLIS A
ESTATE OF SHELLENBERGER
DATE OF DEATH 06-06-2009
FILE NUMBER 21 10-0529
COUNTY CUMBERLAND
ACN 101.
APPEAL DATE: 07-29-2011
(See reverse side under Objections
Amount Remitted
MAKE REG STER OFB WI LNS REMIT PAYMENT T0:
1 COURTHOUSE SQUARE
CARLISLE PA. 17013
N6 THIS LINE__' _ ~ __RETAIN_~RITANCE TAX APPRAISEMENTCO ALLOWE OR
CUT_ALO_________
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT' OF T
REV-1547 EX AFP C12-1~) NOTICE OF INHE ACN: 101 DATE: 05-30-2011
.cr~E N0.:21 10-0529
ESTATE OF: SHELLENBE
ER
F'I1YLL1~
TAX RETURN WAS:
X) ACCEPTED AS FILED
ORIGINAL RETURN
ppPRAISED VALUE OF R~7URN BASED ON:
1. Real Estate CSchepule A)
2. Stocks and Bonds ~cSehedule B)
g. Closely Held Sto~k/Partnership Interest (Schedule C)
4. Mortgages/Notes eceivable (Schedule D) Schedule E)
5. Cash/Bank Deposits/MiscCSchedulelF)roperty
6. Jointly Owned Pr~Perty
7. Transfers CSched})le G)
g. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral ExPense~/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
d ction
~ ) CHANGED
.00
cl) , p0
c2) , 00
c3) , 00
(4)
9,088.06
c5) ,00
c6) , 00
C7)
NOTE: To ensure proper
credit to your account,
submit the upper Portion
of this form with your
tax Payment.
cs) 9 088.06
~ 1 S8 4~+
C9)~ 7 929.61
clo) g 06
11. Total De u
B nests; Non-elected 9113 Trusts (Schedule .J
12. Net Value of Ta Return
cll) 9,08 .
.00
c12) , 00
c13) , p0
(14)
13. Charitable/Governmental e4
tats Subiect to Tax
14. Net value of Es~ lines 14, 15 and/or 16, 17, 18
NOTE: If an asse$sment was issued Previously,
lect fi~lures that include the total of ALL returns assessed to date
ref
ASSESSMENT OF TAX:'
15. Amount of Lineil4 at Spousal rate
16. Amount of Linel4 taxable at ~a~eal/Class A rate
17, Amount of Line~~ 14 at Sibling
Lg. Amount of Lin 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS: RECEIPT DISCOUNT C+)
PAYMENT ~ INTEREST/PEN PAID c-)
DATE NUMBER
.00 x
(15) ~~ X
C16) _
DD- X
t17) ~
.00 x
cls)
AMOUNT PAID
and 19 will
.00
00 =
045 = .00
.00
12 =
15 = .00
c19)= .00
_- .00
TOTAL TAX PAYMENT ,00
BALANCE OF TAX DUE ,00
INTEREST AND PEN. ,00
OTAL DUE
IF TOUND.DSEEIREVERSECSIDEAOFATHISEFORM FOR)INSTRUCTIONS,DUE
~ IF PAID AFTER DATIE INDICATED, SEE REVERSE A REF
FOR CALCULATION ~'F ADDITIONAL INTEREST.
App NOTI~C~E OF IWANCETOR DISALLOWANCE
TAXES ~, nT ~~~rl,~l~+~AND ASSESSMENT OF TAX