HomeMy WebLinkAbout11-23-11 (2)BNHERITANCE TAX DIY IS ION TAXES
PO BOX 280601
HARRISBURG PA 17128-06D1
NOTICE OF INHERITANCE TAX
APp~Rpk,SfcMEN~,_;~LL,Q,YIANCE OR DISALLOWANCE:
pf ' DEI)II~TZOW~- ~AIND ASSESSMENT OF TAX
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RICHARD L WEBBER JR E(S~~,~, ~~, ~~ ',"~ P,a.
126 E KING ST
SHIPPENSBURG PA 17257
pennsylvania~~:~ i ,-
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-10)
DATE 11-07-2011
MAINS GERETH M
ESTATE OF
DATE OF DEATH 10-14-2010
FILE NUMBER 21 10-1082
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 01-06-2012
( See reverse side under Objections )
Amount Remitted
MAKE REGISTERA OFB WILLNS REMIT PAYMENT T0:
1 COURTHOUSIE SQUARE
CARLISLE P.A 17013
CUT ALON6_ THIS LINE--___ ~ __RETAIN-LOWER PORTION FOR YOUR RECE)ALLOWANCE OR
REV-1547 EX AFP C12-10~DISALLOWANCENOFRDEDUCTIONS ANDRASSESSMEN'T OF TAX DATE: 11-07-2011
r_f~RFTH MFILE N0.:21 10-1082 ACN: 101
ESTATE OF : MAl IVJ
v orT11RN WAS: CX) ACCEPTED AS FILED C ) CHANGED
ORIGINAL RETURN
APPRAISED VALUE OF RETURN BASED ON:
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
(,. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
39$,0
0 NOTE: To ensure proper
C1) _ credit to Your account,
(2) --~ submit the upper portion
C3) 00 of this form with your
00 tax payment.
(4) ~~
6:55,949.12
c5) .00
c6) 3~OU
cT) 034,309.12
1
c8) .
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: ~z_z55.92
Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) („ 19 5.80
(10 ) ~---
4.
Debts/Mortgage Liabilities/Liens (Schedule I)
C11)
79,551.72
10. 954,757.40
11. Total Deductions c12) ,00
12. Net Value of Tax Return
Non-elected 9113
Trusts ( C13)
Schedule J)
954,757.40
13. Charitable/Governmental Bequests;
C14)
14. Net Value o~ Estate Subject to Tax
~
~
n
l
and 19 will
If an assessment was issued previou t
E f ALL dat
to
assessed
re~turns
:
NOT
1
reflect figures that include the to o .00
ASSESSMENT OF TAX:
ousal rate
t S c15) ,00 X 00 =
X 045 °
40
~4 7~7 42,964.08
p
15. Amount of Line 14 a
f Line 14 taxable at Lineal/Class A rate (16) _
_
9
_
~~ X 12 , 00
16. Amount o (17) 00
17, Amount of Line 14 at Sibling rate
llateral/Class B r
C
ate (18 ,00 X 15 =
cl9)= ,
42,964.08
o
lg. Amount of Line 14 taxable at
19, Principal Tax Due
TAX CREDITS: DISCOUNT (+) AMOUNT PAID
PAYMENT RECEIPT
NUMBER INTEREST/PEN PAID ~-) 40,000.00
DATE 2, 105.26
01-13-2011 CD013890 .00 871.11
07-14-2011 CD014711
TOTAL TAX PAYMENT 42,976.37
BALANCE OF TAX DUE 12.29CR
INTEREST AND PEN. .00
12.29CR
TOTAL DUE
AFREFUND.DSEEIREVERSE,CSIDEAOFATHISEFORM FOR)INSTRUCTIONS DUE
~ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.