HomeMy WebLinkAbout11-23-11TICE OF INHERITANCE TAX Pennsylvania a ~`"~~T'
BUREAU OF INDIVIDUAL TAXES A~~$ p~-~-
INHERITANCE TAX DIVISION `- y ~`p~WANCE OR DISALLOWANCE fi
PO BOX 260601
OF DE~U,~T'LCiI~~ AND ASSESSMENT OF TAX DEPARTMENT OF REVENUE
HARRISBURG PA 17128-0601 ~ - - REV-1547 EX AFP (12-10)
... ~ _ J
'ii r ~ j f ;, ~ ~ DATE 11-07-2011
ESTATE OF GULDEN BARBARA R
n; ~~.;, .,~ DATE OF DEATH 12-30-2010
l;-, -
^~i~ ~:~ ,,T FILE NUMBER 21 11-0214
JOHN C OSZUSTOWICZ ~,;j~~~",.,. ,: COUNTY CUMBERLAND
104 S HANOVER ST L ~~ "~ "~`~" rN, ACN 101
CARLISLE PA 17013-3420 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
CARLISLE PA 17013
CUT ALONG THIS LINE y --R_ETA_IN-LOWER POR_TION_ FOR YOUR RECORDS F--
REV-1547 EX AFP C12-10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: GULDEN BARBARA RFILE N0.:21 11-0214 ACN:
101 DATE: 11-07-2011
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate [Schedule A)
2. Stocks and Bonds (Schedule B) C1) '00 NOTE: To ensure proper
3. Closely Held Stock/Partnership Interest (Schedule C) C2) •00 credit to your account,
4. Mortgages/Notes Receivable (Schedule D) C3) ,00 submit the upper portion
(4) of this form with your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 125,384.63 tax payment.
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G) C6) .00
c7) .00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: C8) 125,384 63
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) _
10. Debts/Mortgage Liabilities/Liens (Schedule I) C9) 00
C10)
11. Total Deductions .00
12. Net Value of Tax Return (11) .00
13. Charitable/Governmental Bequests; Non-elected 9113 T (12) 125,384.63
14. Net Value of Estate Subject rusts
to Tax (Schedule J)
(13) .00
NOTE: If an assessment was issued previousl C14) 125,384 63
reflect figures that y, lines
include the tot
l 14,
~
7 and 19 will
ASSESSMENT OF TAX: a
of ALL returns assessed
to
d to
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate C15) 125, 384.63 X 00 = . 00
17. Amount of Line 14 at Sibling rate (16) ~~ x 045 =
.00
18. Amount of Line 14 taxable at n7)
Collateral/Class B ~~ X 12 .00
19. Principal Tax Due rate C18) .00 X 15 =
TAX CREDITS:
c19)° .00
PAYMENT Crrr•nr .00
DATE I I ~+aw uni ~+)
NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX PAYMENT
BALANCE OF TAX DUE •00
.00
INTEREST AND PEN. .00
TOTAL DUE .00
AFREFUND.DSEEIREVERSECSIDEAOFATHISEFORM FOR)INSTRUCTION