HomeMy WebLinkAbout11-23-11BUREAU OF INDIVIDUAL TAXES L.~~ NOTICE OF INHERITANCE TA
INHERITANCE TAX pIVISION ~ ~r _ ISE~~~~'~'~~';~~LLOWANCE QR X
PO BOX 280601
HARRISBURG PA 17128.0601 OF DEDUGTI~BNS AND DISALLOWANCE
ASSESSMENT OF TAX
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GEORGE F DOUGLAS r ~~~ ~ ` ~~
354 ALEXANDER ~~ ~~~ ~ f'ir' n,~
CARLISLE SPRING RD
PA 17015-7451
Pennsylvania ~-. , -:
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-10)
DArE
ESTATE OF 11'07-2011
DATE DIETER
OF DEATH 10-01_ DORIS C
FILE NUMBER 2010
COUNTY 21 10-1276
ACN CUMBERLAND
AppEAL 101
DATE: 01_06_2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
I COURTHOUSE r0:
CUT ALON_6_ THIS CARLISLE SQUARE
REV-1547 _~INE_-__ y PA 17013
EX qFp C12_10j-- ___RETAIN_LOWER PORTION FOR
NOTICE OF INHERITANCE _ YOUR RECORDS
ESTATE OF: DISALLOWANCE OF TAX APPRAISEMENT t~
DIETER DEDUCTIONS AND ASSESSMENTAOFOTAXCE OR
DORIS (FILE -_-----~~--'"
N0.:21 10-1276
gppR TAX RETURN WAS: C ACN: 101
AISED VALUE OF X) ACCEPTED AS FILED ~ ) DATE: 11_07_
1 • Real Estate RETURN BASED ON: ORIGINAL 2011
(Schedule A) RETURN CHANGED
2• Stocks and Bonds
(Schedule B) [1)
3• Closely Held Stock/Partnership Interest •DO
4• Mort C2) NOTE: To ensure
gages/Notes Receivable (Schedule C) •00 credit proper
5• Cash/Bank (Schedule D) C3) submit to your account,
Deposits/Misc. •00 the upper
6• Jointl Personal C4) of this portion
Y Owned Pro property (Schedule E) •00 form with
7• Tr Party (Schedule F) C5) tax payment, Your
ansfers (Schedule g) .00
B• Total Assets C6) 2, 951 .44
APPROVED DEDUCTIONS ~~) •00
9. Funeral AND EXEMPTIONS:
Expenses/qdm• Costs/Misc. CB)
10. Debts/Mort Expenses 2 951.44
gage Liabilities/Liens (Schedule H)
11. Total Deductions (Schedule I) C9)
clo) 162 481.04
12. Net Value of Tax Return
13. Charitable/Governmental Bequests;
14• Net Value of Non- C11) 166,598.70
Estate S elected 9113 Trusts (Schedule ~) C12)
NOTE: ubJect to Tax 163,647.26_
If an assessment was c13)
reflect issued previousl c14) •00
ASSESSMENT OF figures that include y' lines l4, 163 647 26-
TAX: the total 15 and/or 16, 17,
15• Amount of Line 14 at s °f A~ returns 18 and 19 will
16. Amount of pousal rate assessed to date.
Line 14 taxable at Lineal/Class
17• Amount of (15)
Line 14 at Siblin A rate C16) •00 X 00
18. Amount of Line 14 g rate •00
19. Princi taxable at Collateral/Class C17) X 045 =
Pal Tax Due X 12 • 00
TAX CREDITS; B rate C1B)
DATE
NUMBER I uiSCOUNT C~~
INTEREST/PEN PAID (-)
IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
.00 x 15 •00
c19)_ . 00
•00
AMOUNT PAID
TOTAL TAX PAYMENT
BALANCE OF TAX DUE •00
INTEREST AND pEN• •00
rorAL DUE •oo
IF TOTAL DUE IS REFLECTED qS A •00
A REFUND. SEE REVERSE SIDE ~~CREDIT~~
OF THIS FO CCR), YOU MAY BE D
RM FOR INSTRUCTIONS. •~