HomeMy WebLinkAbout11-23-11 (2)BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION 31PPRA~I~SEM~NT~` ALLOWANCE 0 enn
Po Box 2B000I OF- DEDUCTIONS R DISALLOWANCE ~ sylvarna n ~ ~=`"
HARRISBURG PA 1 7128-0601 AND ASSESSMENT OF TAX DEPARTMENT OF REVENUE ~ $
REV-1547 EX AFP C12-10)
ROGER B IRWIN ESQ
60 W POMFRET ST
CARL Iti G
PA 17013
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DATE 11-14-2011
ESTATE OF ZAWADSKI
DATE OF DEATH 02-12- CLARA L
FILE NUMBER 21 2011
11-0260
COUNTY CUMBERLAND
ACN
APPEAL p01
.ATE: 01-13_2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0;
REGISTER 01= WILLS
1 COURTHOUSE SQUARE
CUT-ALON_6 THIS LINE CARLISLE F'A 17013
REV-1547 EX AFP ---- y __RETAIN-LOWER-PORTION FOR YOUR RECORDS
C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT,• ___
DISALLOWANCE OF ~ _
ESTATE OF: ZAWADSKI DEDUCTIONS AND ASSESSMENTAOFOTAXCE OR -------
CLARA LFILE NO.;
TAX RETURN WAS; ( 21 11-0260 AI:N:
APPRAISED X ) ACCEPTED aS FILED 1.01 DATE: 11-14-
VALUE OF RETURN B ( ) CHANGED 2011
1 • Real Estate [schedule A) ASED ON: ORIGINAL RETURN .
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
6• Jointly Owned Property (Schedule F)
E)
7. Transfers (Schedule G)
B- Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9• Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Sch
(1)~ ~~ U
C2)
~
~
0 NOTE: To ensure proper
(3)- ~
~
,00 credit to your account,
submit the upper p
C4)
-~
.00 ortion
of this form with yo
(5)-
~ 65= ur
tax payment.
(6) 9, 193 -
.03
(B) 309 816.36
(9) ' ? 0;
edule I) ~~Q`
11. Total Deductions (10)
3 021.36
12• Net Value of Tax Return
13. Charitable/Governmental Be (11) 15,058.25
14. Net Value of Quests; Non-elected 9113 Trusts (12)
Estate Subject to Tax (Schedule J) 294' 758.11
NOTE: If an (13) .00
assessment was issued previously, (14)
reflect fi lines 294 758.11
ASSESSMENT 9ures that include the total 14' 15 and/or
OF TAX: of A~ returns 16, 17' 18 and 19
15. Amount of Line 14 assessed Will
16. Amount of Line 14 taxable sat Lineal/Class A t ~ date.
17. Amount of Line 14 at Sibling rate (15) _
rate • 00 X 00
C16)_ 9q4 7~iR 1 ~ . 00
18. Amount of Line 14 taxable at Collateral/Class B rate C17) X 045 - 13, 264 • 11
19. Principal Tax Due X 12 =
TAX CREDITS: (18) •00
.00• X 15 = .00
PAYMENT (19)=
DATE RECEIPT 13, 264.11
NUMBER DISCOUNT (+)
05-11-2011 INTEREST/PEN PAID (-)
07-20-2011 CD014458
CD014744 289.47
.00
IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
AMOUNT PAID
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7,474.64
TOTAL TA AX AYP MENT
BALANCE OF 13'264.11
TAX DUE
INTEREST AND PEN. •00
TOTAL DUE •00
IF TOTAL DUE IS REFLECTED AS ~. •00
A REFUND. SEE REVERSE SIDE OFATHI!~EFORM FOR)INSTRUCTIONS,DUE