HomeMy WebLinkAbout11-23-11BUREAU OF INDIVIDUAL TAXES ~'r~' NOTICE OF INHERIT
INHERITANCE TAX DIVISION 'K~'RAtSEM ANCE TAX
PO BOX 280601 7 ,~ ALLOWANCE OR
HARRISBURG PA 17IZa-o6o1 OF DED'U~IONS DISALLOWANCE
- ,,_ AND ASSESSMENT OF TAX
~~ ~ 1
~, ._
i:_
JENNIFER DENCHA ~~~r,~ '
PO BOX 659 ~ ~~I,~E~,. ~ ; .:~
MECHANICSBURG Pq 17055-065 9 ,
pennsy(vania ;:_
DEPARTMENT OF ~.
REVENUE
REy-1547 EX AFP (12-10)
DATE
ESTATE OF 11-07-2011
DATE OF HESS
DEATH 12-11-2010 ROBERT K
FILE NUMBER 21 10-1260
COUNTY CUMBERLAND
ACN
101
APPEAL DATE: 01-06_2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK p
REGISTER OFBLE AND REMIT p
1 COURTHOUSEWILLS AYMENT T0:
CUT ALON_6 _ CARLISLE SQUARE
THIS LINE PA 17013
REV-1547 EX AFP ----- ~__RETAIN LOWER ppRTION FOR
C12-10) NOTICE OF INHERITANCE TAX
ESTATE DISALLOWANCE --__YOUR-RECORDS
OF: HESS OF DEDUCTIONS ANDRAISEMENT - ~-- _
ROBERT ASSESSMENTAOFOWANCE OR --'-----
KFILE NO•:21 10_ TAX
APPRAISED TAX RETURN was: 1260 ACN:
VALUE OF RETUR ( X) ACCEPTED As FILED ( ) 101 DATE:
1• Real Estate N BASED ON: ORIGINAL CHANGED 11-07-2011
2. Stocks and Bondse~Schedule g) RETURN
3• Closely Held (I)
Stock/partners •00
4• Mortga es/ h1P Interest C2) 25,686.00 c~TE. TO ensure
g Notes Receivable (Schedule C) edit prOPer
5• Cash/Bank (Schedule D) (3) tO Your account,
Deposits/Misc. •00 submit the upper
6• Jointly Owne Personal Propert (4) $ 2 of this Portion
d Property (gc y (Schedule '540.00 form with
7• Transfers hedule F) E) CS) tax payment. Y°ur
[Schedule ~) 25'254.00
B. Total Assets (6) .00
APPROVED DEDUCT C7) 26,981.00
IONS AND EXEMPTIONS:
9• Funeral Expenses/Adm, Costs/Misc.
10. Debts/Mort ($) 160 461.00
sage Liabilities/ Expenses (Schedule H)
11. Total Deductions Llens (Schedule I) (9)
12. Net Value (10) 14 617.00
13. °f Tax Return
Charitable/governmental Bequests;
14. Net Value of Estate Sub' C11) 30'856.00
Non-elected 9113 Trusts (Schedule J)
NOTE: sect to Tax (12) 129, 605.00
If an assessment was (13)
reflect fi issued previousl (14) •00
ASSESSMENT 9ures that include y' lines l4, 129 605.00
OF TAX: the total 15 and/or 16, 17,
15. Amount of Line 14 at °f A~ returns 18 and
16. Amount of Sp°usal rate assessed to date. 19 will
Line 14 taxable at Lineal/Class
17. Amount of Line (15)
14 at Siblin A rate C16) ' 00 X 00
I8• Amount of g rate •00
19. Princi Line 14 taxable at Collateral/Class (17) X 045 =
Pal Tax Due X 12 5'832.00
TAX CREDITS: B rate (1B) _
PAYMENT ' 00 X 15 = ' 00
DATE RECEIPT (19)= .00
03-04-2011 NUMBER DISCOUNT (+) 5'832.00
n~_„ __ !`nn,~..__ INTERFCT.e.-.. _
FORPCALCULATIONAOF INDICATED,
ADDITIONAL INTERESTRSE
IF TOTAL DUE IS REFLECTED •161
A REFUND. SEE REVERSE AS A "CREDI7~~
SIDE OF THIS FO (CR)' YOU MAY BE
RM FOR INSTRUCTIONS.