HomeMy WebLinkAbout12-05-11NOTICE OF INHERITANCE TAX Pennsylvania ~
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BUREAU OF INDIVIDUAL TAXES ~_~~~-.a~~''PRA,z~~~'~ ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~ ~ J , Df D~I~U~C(TION$ AND ASSESSMENT OF TAX
PO BOX 280601 REV-1547 EX AFP C12-10)
HARRISBURG PA 17128-0601
CLERK CF
GRPHA~1'S t~C~~PT
KEVIN D DOLAN E~J~~~~C! ~~-'; R':i`,J!~: (;;~1
~'
222 S MARKET ST
PO BOX 267
ELIZABETHTOWN PA 17022
DATE 11-28-2011
ESTATE OF MICKEY ELIZABETH A
DATE OF DEATH 03-06-2005
FILE NUMBER 21 10-0865
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 01-27-2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALON_6 THIS LINE _ ---~ R_ETA_IN LOWER POR
TION
FOR YOUR RECORDS E-
_
REV-1547 EX AFP C12-10) NOTICE OF INHERITANCE TAX _
APPRAISEMENT, ALLOWANCE _ ___
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: MICKEY ELIZABETH AFILE N0.:21 10-0865 ACN: 101 DATE: 11-28-2011
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 00
2. Stocks and Bonds (Schedule B)
C .
00 NOTE: To ensure proper
cr
dit t
2J , e
o your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D)
C4)
00 of this form with your
.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 10,916.11 tax payment.
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) ~7J .00
8. Total Assets
APPROVED DEDUCTIONS cs) 10,916.11
AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) ~gJ__ 1. 7.7
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions
12.
Net Value of Tax Return C11J 13,257.75
13
Ch
it ~12J 2,341.64-
. ar
able/Governmental Bequests; Non-elected 9113 Trusts (Schedul
J)
e
(13) .00
14. Net Value of Estate Subject to Tax
C14) _ 2,341.64-
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16
17, 18 and 19
reflect figures that
include the total
of ALL ,
returns assessed to date will
ASSESSMENT OF TAX: .
15. Amount of Line 14 at Spousal rate C15) .00 X 0 0 = 00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) -I1p x 045 = .
17
Amount
f Li .00
. o
ne 14 at Sibling rate C17)
00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B ra te (18) .00 X 15 = 00
19. Principal Tax Due .
TAX CREDITS: C19)= .00
I rrarntni I RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
TOTAL TAX PAYMENT .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 DU
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE DF THIS FORM FOR INSTRUCTIONS.