HomeMy WebLinkAbout11-23-11BUREAU OF INDIVIDUAL TAXES ~P~IT/~~EMM~~~ E OF INHERITANCE TAX
INHERITANCE TAx DIVISION r'. ~ ~LOWANCE OR
Po eox zaosol '- OF -IlEDUCTI` DISALLOWANCE
HARRISBURG PA 171zs-ocol + ~~: ~ - Q S AND ASSESSMENT OF TAX
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NICOLE M KERNS CO~1a1~ ~. ~~ i 1,1J~';-; ~~
200 LINGLESTOWN RD S
HARRISBURG PA 17110-9367
Pennsylvania F. ` t
DEPARTMENT OF REVENUE ,
REV-1547 EX AFP (12-10)
DATE 11-07-
ESTATE OF 2011
DATE OF HALLETT
DEATH 01-01-2011 EDWARD A
FILE NUMBER 21 11-0106
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 01_06_2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CUT ALONG THIS LINE CARLISLE PA 17013
REV-1547 EX AFP C12_-"-'-~-~ -_R_ETA_IN-LOWER POR_TION_ FOR YOUR
10~ NOTICE OF INHERITANCE TAX APPRAISEMENTCORDS
ESTATE OF: DISALLOWANCE OF F - __
HALLETT DEDUCTIONS AND ASSESSMENTAOFOTAXCE OR --'-
EDWARD AFILE NO.: ----_-
TAX RETURN was: ( 21 11-0106 ACN;
APPRAISED V X) ACCEPTED AS FILED 101 DATE: 11-07-2011
ALOE OF RETURN BASED ON: ORIGINAL ( ) CHANGED
1 • Real Estate (Schedule q) RETURN
2. Stocks and Bonds (Schedule B)
3• Closel (1) • 00
y Held Stock/Partnershi (z) 11 NOTE: To ensure
4• Mortgages/Notes p Interest (Schedule ' 118 • 23 credit proper
Receivable C) (3) to Your account,
5• Cash/Bank Deposits/Mist, (Schedule D) ,00 submit the u
C4) of this PPer portion
6• Jointl Personal Property (Schedule .00 form with
y Owned ProPert tax payment. y°ur
7• Transfers (Schedule G) (Schedule F) E) (5) 290,3 99.98
(6) .00
B• Total Assets
APPROVED C7) 245,880.23
DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. (B) 54 7
10. Debts/Mort a Costs/Misc. Expenses (Schedule H) 398.44
9 ee Liabilities/Liens (Schedule I)
11. Total Deductions C9)!S 4"`~
(lo) 3 366.50
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; (11)
14. Net Value of Non-elected 9113 Trusts 31'83 9.64
Estate Subject to Tax (Schedule J) C12) 515, 558.80
NOTE: If an assessment (13) .00
was issued previousl (14) 515 558.80
reflect figures y, lines
ASSESSMENT OF that include the total 14' 15 and/or 16, 17, 18
TAX: of A~ returns and 19
15. Amount of Line 14 at Spousal rate BSSESSed tp W111
16. Amount of date,
Line 14 taxable at Lineal/Class (15)
17. Amount of Line 14 at Siblin A rate •00 X 00
e rate C16)~5 r+r,R un .00
18. Amount of Line 14 c17) -i""""- X 045 23, 200.15
19. Principal Tax Due taxable at Collateral/Class B X 12 -
TAX CREDITS: rate (18) .00
00
DATE ..`."" r i
NUMBER DISCOUNT (+)
03-28_2011 CD014216 INTEREST/PEN PAID (-)
07-12-2011
CD014709 1,131.58
.00
IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
x 15
(19). ' 00
23,200.15
~~
AMOUNT PAID
,~uu.00
568.57
TOTAL TAX PAYMENT
BALANCE OF 23'200.15
TAX DUE
INTEREST AND pEN• •00
roraL DuE •oo
IF TOTAL DUE IS • 00
A REFUND. REFLECTED AS A '~CREDIT~•
SEE REVERSE SIDE OF THIS FORM FOR )INSTRUCT ONS,DUE