HomeMy WebLinkAbout06-06-11nr, •-,- r~r TICE OF INHERITANCE TAX
~V~~~'~-~4~~ ENT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAX rn; t'f ^ F':, i
INHERITANCE TAX DIVISION kr'~,7`1kL~'i ~,~~0~~~,~iDUCTIONS AND ASSESSMENT OF TAX
PO BOX 260601
HARRISBURG PA 17128-0601
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ROGER B IRWI~~M~~D CQ.. PA
60 W POMFRET ST
CARLISLE PA 17013
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-10)
DATE 05-23-2011
ESTATE OF HENCH THEETTA J
DATE OF DEATH 01-27-2010
FILE NUMBER 21 10-0176
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 07-22-2011
(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 ~-- _
REV-1547 EX AFP C12-10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: HENCH THEETTA JFILE N0.:21 10-0176 ACN: 101 _______________
OR
DATE: 05-23-2011
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .0 0 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .00 submit the upper portion
of this form With yOUr
4. Mortgages/Notes Receivable (Schedule D) C4) •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 7,18 3.68
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) ~7) 35, 855.43
8. Total Assets cs) 43, 039.11
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) ~q) 4.845.16
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 14,8 04.72
11. Total Deductions X11) 19,649.88
12. Net Value of Tax Return C12) 23, 389.23
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) 23,389.23
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate (15) .00 X 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 7~.~89- X 045 = 1,052.52
17. Amount of Line 14 at Sibling rate C17) .00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .00 X 15 - .00
19. Principal Tax Due C19)= 1,052.52
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
03-11-2011 CD014119 .00 1,052.52
BALANCE OF UNPAID INTEREST/PENALTY AS OF 03-12-2011 TOTAL TAX PAYMENT 1,052.52
BALANCE OF TAX DUE .00
INTEREST AND PEN. 13.57
TOTAL DUE 13.57
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIOnNS.
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