HomeMy WebLinkAbout11-23-11BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 260601
HARRISBURG PA 17128-0601
~N9ffC~,~OF INHERITANCE TAX
~'1~PaAI'SEM~'i1rT;~"ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
Pennsylvania r r -'
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-10)
-~ ~ i ~-
. v-i ''-~ DATE :L1-14-2011
ESTATE OF FiENRY HAMILTON M
- DATE OF DEATH 06-06-2010
`~,{ FILE NUMBER 21 10-0638
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SUSAN H CONFAIR ~`", ' ~ !%' ~ ~-""` COUNTY (:UMBERLAND
ACN ].O1
2331 MARKET ST APPEAL DATE: 01-13-2012
CAMPH I L L PA 17 011 (See reverse side under Objections)
Amount Remitted
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 !- _ _____
-------------------- --------------------- _______
REV-1547 EX AFP C12-10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: HENRY HAMILTON MFILE N0.:21 10-0638 ACN: 101 DATE: 11-14-2011
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN N0. 0:1
1. Real Estate (Schedule A) (1) .00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) 60.00 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) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) ]L,8 25.00
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) C7) .00
8. Total Assets C8) 1.885.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Cq) 290.00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions C11) 290.00
12. Net Value of Tax Return (12) 1,595.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax
(14) 84 606.38
NOTE: If an assessment was issued previously, lines 14, 15 and.~or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date
ASSESSMENT OF TAX: .
15. Amount of Line 14 at Spousal rate C15) .00 X 00 - .0 0
16. Amount of Line 14 taxable at Lineal/Class A rate (16) R4.6[16 3R X 045 = 3,807.29
17. Amount of Line 14 at Sibling rate (17) _00 X 12 =
18. Amount of Line 14 taxable at Collateral/Class B rate (18)
.00 X 15 = .00
.00
19. Principal Tax Due
TAX CREDITS: C19)= 3,80.7.29
PAYMENT RECEIPT
DISCDUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
09-02-2010 CD013292 190.36 3
636
90
04-11-2011 REFUND
00 „
.
.
07-22-2011 CD014757
57- 88.17-
.
11-07-2011 REFUND
00 72.65
. 3.88-
TOTAL TAX PAYMENT 3,807.29
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED A:i A "CREDIT" (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.