HomeMy WebLinkAbout12-05-11 (2)BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIYISION
PO BOX 280601
HARRISBURG PA 17126-0601
NOTICE OF INHERITANCE TAX
P$-ISE,ME~~;~ ~LOWANCE OR DISALLOWANCE
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OF' ,DEDUCTIp~IS AND ASSESSMENT OF TAx:
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CLERK C~
oRPHA~, s ~c~~ ART
ROGER MORGENTHAL ES~EJ~Vh ~~~' ~~C`~`~' ~ ~~ ~A.
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4431 N FRONT ST
HARRISBURG PA 17110-1778
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-10)
DATE 17.-28-2011
ESTATE OF HAIR SR ROBERT F
DATE OF DEATH 12-27-2010
FILE NUMBER 21 11-0828
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 01-27-2012
(See reverse side under Objections)
A:aount Resitted~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
S LINE ~ RETAIN LOWER PORTION FOR
6 TH
I
CUT ALON
---------------------- YOUR RECORDS ~
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REV-1547 EX AFP C12-11-----------
0) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: HAIR SR ROBERT FFILE N0.:21 11-0828 ACN: 101 DATE: 11-28-2011
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .0 0 NOTE: To ensure proper
2. Stocks and Bonds QSchedule B) (2) 210.00 credit to your account,
submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 of this form with your
4. Mortgages/Notes R$ceivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposit$/Misc. Personal Property (Schedule E) C5) 8 53.09
6. Jointly Owned Pro:erty (Schedule F) (6) .1,590.30
7. Transfers (Schedule G) (7) .00
8. Total Assets (e) 2.653.39
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/14dm. Costs/Misc. Expenses (Schedule H) C9) 1.676.37
10. Debts/Mortgage Lipbilities/Liens (Schedule I) (10) 8.8 02.8 9
(11) 10,479.26
11. Total Deductions 7,825.87-
12. Net Value of Tax Return (12)
13. Charitable/GovernMental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 7'825'87
NOTE: If an assess~hent 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
16. Amount of Line 14'taxable at Lineal/Class A rate
17. Amount of Line 14~, at Sibling rate
18. Amount of Line 14' taxable at Collateral/Class B rate
19. Principal Tax Due'.
TAX CREDITS:
(15) .00 X
C16) _ DO X
(17) _ DO x
(18) • 00 X
00 = .00
045 = .00
12 = .00
15 = .00
(19)= . 00
P DATENT I NUMBER I INTEREST/PEN PAID C-) I AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL. DUE .00
* IF PAID AFTER DATE IND~,ICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE,
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.