HomeMy WebLinkAbout11-23-11BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17126-0601
NOTICE OF INHERITANCE TAX
_,APPRAISEMEN.T, ALLOWANCE OR DISALLOWANCE
OF-\DED~GT'IONS AND ASSESSMENT OF TAX
j
BRIDGET M WHITLF-Y: ESQ ~~,`~
~,
FL 6
17 S 2ND ST
HARRISBURG PA 17101-2053
~..-
Pennsylvania ~.
DEPARTMENT OF REVENUE
REY-1547 EX AFP (12-10)
DATE 11-14-2011
ESTATE OF BRINGMAN JOHN W
DATE OF DEATH 10-23-2010
FILE NUMBER 21 11-0424
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 01-13-2012
(See reverse side under Objections)
Amount Remitted
MAKE EGISTERA OFB WILLNS REMIT PAYMENT T0:
1 COURTHOUSE SQUARE
CARLISLE PA 17013
~ RETAIN LOWER PORTION FOR YOUR
------- RECORDS E~ __
------------------ ____________
CE OR
CUT ALON_6 THIS LINE -------- ---------------------
O
A
R
R
N
TAX
OF
ASSESSMENT
REV-1547 EX AFP (12-10~DISALLOWANCE
DEDUCTIONS AND
OF
WFILE N0.:21 11-0424 ACN: 101 DATE: 11-14-2011
JOHN
ESTATE OF: BRINGMAN
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
.00 NOTE:
To ensure proper
C1?
Real Estate (Schedule A)
1 .00 credit to your account,
.
(2)
2. Stocks and Bonds (Schedule B) submit
t the upper portion
m with your
Closely Held Stock/Partnership Interest (Schedule C) C4)
3 .00 tax
pa yment
.
Mortgages/Notes Receivable (Schedule D)
4 3$ 6.00
.
Cash/Bank Deposits/Misc. Personal Property (Schedule E) C6)
5 ,00
.
Jointly Owned Property (Schedule F)
6 129,355.00
(7)
.
7. Transfers (Schedule G)
(8) 129,741.00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: 3,819.00
Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
9
lU) .00
.
(
10. Debts/Mortgage Liabilities/Liens (Schedule I) 3,819.00
C11)
125,922.00
11. Total Deductions (12)
12. Net Value of Tax Return (I3)
nmental Bequests; Non-elected 9113 Trusts (Schedule J)
G .00
922.00
125
over
13. Charitable/ (14) ,
14. Net Value of Estate Subject to Tax 18
15 and/or 16, 17, and 19 Will
NOTE: If an assessment was issued previously, lines 14, sessed to date .
reflect figures that include the total of ALL returns as
ASSESSMENT OF TAX:
C15) .00 X 00 = .00
15. Amount of Line 14 at Spousal rate
(16) ) S _ 922. _ ~0 X 045 = 5, 666.00
16. Amount of Line 14 taxable at Lineal/Class A rate 00 X 12 = .00
(17)
17. Amount of Line 14 at Sibling rate .
.00 X 15 =
.00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) (19)= 5,666.00
19. Principal Tax Due
TAX CREDITS: DISCOUNT (+)
RECEIPT
AMOUNT PAID
PAYMENT
NUMBER INTEREST/PEN PAID (-)
DATE
00 5,666.00
.
07-20-2011 CD014745
TOTAL TAX PAYMENT 5,666.00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR). YOU MAY BE Dl~,
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ii:~~