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HomeMy WebLinkAbout06-06-11~[~ ~ C[ ~c~N,OTICE OF INHERITANCE TAX BUREAU OF INDIVIDUAL TAQ~UG~ _~~1'r"ENT, ALLOWANCE OR DISALLOWANCE INHERITANCE TAX DIYISION ~'; n~n-f!-,-~ /~rp~ ~fDUCTIONS AND ASSESSMENT OF TAX PO BOX 280601 j 5~~,~~~ j yr~ ,,, I e ; ;~ .~„V HARRISBURG PA 17128-0601 ~~ ~ i SUN _n P~' !?~ ! CLERK CF ~~ S C~U~l MICHAEL L BISERL,~i© CA., PA 429 S 18TH ST CAMP HILL PA 17011 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1547 EX AFP (12-10) DATE 05-23-2011 ESTATE OF SHEDLOSKY EVELYN B DATE OF DEATH 06-20-2010 FILE NUMBER 21 10-0717 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 ALONG THIS LINE ---- ~-- RETAIN LOWER PORTION FOR YOUR RECORDS E~ -------------------- ---------------------------------------------------------------- REV-1547 EX AFP C12-10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF: SHEDLOSKY EVELYN BFILE N0.:21 10-0717 ACN: InI nerc. n~_~z_on „ TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) ~1) 28 0,000.00 NOTE: To ens 2. Stocks and Bonds (Schedule B) (2) 3,172.4 0 ure proper credit to your account, 3. Closely Held Stock/Partnership Interest (Schedule C) C3) .00 submit the upper portion 4. Mortgages/Notes Receivable (Schedule D) (4) 00 of this form with your . tax payment. 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 1,376.36 6. Jointly Owned Property (Schedule F) C6) 51,28 5.94 7. Transfers (Schedule G) ~7) .00 e. Total Assets c8) 335.834.70 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) ~q) 18,363. 9 10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 7.702.68 11. Total Deductions X11) 26,065.97 12. Net Value of Tax Return C12) 309,768.73 13. Charitable/Governmental Bequests; Non-elected 9113 Tr usts (Schedule J) (13) .00 14. Net Value of Estate Subject to Tax C14) 309,768.73 NOTE: If an assessment was issued previously, li nes 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to d ate. 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) 309.768.73 X 045 = 13,939.59 17. Amount of Line 14 at Sibling rate (17) -~0 X 12 = .00 18. Amount of Line 14 taxable at Collateral/Class B rate (18) .0 0 X 15 - .00 19. Principal Tax Due C19)= 13,939.59 TAX CREDITS: PAYMENT RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID 09-15-2010 CD013362 684.21 13 000 00 03-14-2011 CD014132 .00 . , 255.38 TOTAL TAX PAYMENT 13,939.59 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 * IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. A(~ - - ~/ ^' `/