HomeMy WebLinkAbout11-23-11BUREAU OF INDIVIDUAL
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
AP ~:Rpk.SN~,j~.~-LLQ~ANCE OR DISALLOWANCE
TAXES ~ lSEDII~TZUN~- ACRD ASSESSMENT OF TAX
RICHARD L WEBBER
126 E KING ST
SHIPPENSBURG
Pennsylvania ~; .
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-10)
DATE 11-07-2011
i s! ~ ~ , ESTATE OF MAINS GERETH M
DATE OF DEATH 10-14-2010
r ,-~~,~ ,^,_ FILE NUMBER 21 10-1082
- CUMBERLAND
C' ~ `. `J ,T COUNTY
JR E '~, ~ '' ~, ' Pa ACN 101
~~I~ APPEAL DATE: 01-06-2012
(See reverse side under Objections)
PA 17257
Amount Remitted
MAKE REGISTERA OFB WI LNS REMIT PAYMENT T0:
1 COURTHOUSE= SQUARE
CARLISLE Pi4 17013
PORTION FOR YOUR_REC_0_RDS--_____
LOWER
RETAIN
--" -"~~ ___
OR
_
_
CUT ALON6_ THIS LINE_____ ~ __
R
R
N ALLOWANCE
DEDUCTIONS AND
REV-1547 EX AFP (12-10~DISALLOWANCE
OF ASSES SMEN1f OF TAX
11-07-2011
TE
GERETH MFILE N0.:21 10-1082 ACN: 101 :
DA
ESTATE OF: MAINS
) ACCEPTED AS FILED
(
) CHANGED
TAX RETURN WAS: C X
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
~1)
398, 000.00
NOTE: To ensure proper
t
1. Real Estate (Schedule A)
(2) .00 ,
credit to your accoun
submit the upper portion
2. Stocks and Bonds (Schedule B)
hedule C)
(S
(3)
.00
of this form with your
c
3. Closely Held Stock/Partnership Interest C4) .00 tax payment.
Mortgages/Notes Receivable (Schedule D)
4 635,949.12
.
sh/Bank Deposits/Misc. Personal Property (Schedule E)
C C6) ,00
a
5.
6. Jointly Owned Property (Schedule F) C7) -_ 360.00
7. Transfers (Schedule G) (8) 1 , 034 .309.12
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: ~;_55.92
Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
9 C9) 6,19 5.80
.
Debts/Mortgage Liabilities/Liens (Schedule I)
10 7 9,551.72
. C11) 954,757.40
11. Total Deductions c12) .00
12. Net Value of Tax Return
vernmental Bequests; Non-elected 9113 Trusts
/G C13)
(Schedule J) C14)
9 54,757.40
o
13. Charitable
14. Net Value o~ Estate Subject to Tax 16 1 7 18 and 19 Will
NOTE: If an assessment 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 , ,
of ALL returns assessed to date.
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS: DISCOUNT C+)
PAYMENT RECEIPT
DATE NUMBER INTEREST/PEN PAID C-)
CD013890 2,105.26
01-13-2011 CD014711 .00
07-14-2011
00 = .00
045 = 42,964.08
12 = .00
15 = .00
c19)= 42,964.08
40,000.OU
871.11
TOTAL 'TAX PAYMENT 42,976.37
BALANCE: OF TAX DUE 12.29CR
INTEREST AND PEN. .00
TOTAL DUE 12.29CR
(15) . 00 X
(17 ) ~+~~- X
(18) X00 X
AMOUIVT PAID
^ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.