HomeMy WebLinkAbout12-19-12BUREAU OF INDIVIDUAL TAXES ~~ ~ µQ~TI ~ OF INHERITANCE TAX
INHERITANCE TAX DIVISION APPRAISE~+ N , ALLOWANCE OR DISALLOWANCE
Po eox zeo6ol - OF DED..rU.G~T~IONS AND ASSESSMENT OF TAX
HARRISBURG PA ].7128-0601
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RICHARD CORNMAN ~~~ ~~ ~'~
414 BURGNERS R~
CARLISLE !, PA 17013
Pennsylvania
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-10)
DATE 12-12-2011
ESTATE OF CORNMAN
DATE OF DEATH 07-17-2010 ELAINE E
FILE NUMBER 21 10-0800
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 02-10-2012
(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 _ ~-----R_ETA__IN_-_LO_W_ER PORTION_ FOR YOUR RECORDS ~
REV-1547 EX AFP (12-1 ) NOTICE OF -----'--- ----------- _
INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: CORNMAN
ELAINE EFILE N0.:21 10-0800
ACN: 101 DATE: 12_12_2011
TAX RETURN WAS: (X) gCCEPTED AS FILED
APPRAISED VALUE nc o~~ ( ) cueue~„
--- -• ~~,vRPI npSED ON: ORIGINAL RETURN
1. Real Estate (Schedu a A)
2. Stocks and Bonds (S hedule B)
3. Closely Held Stock/ artnership Interest (Schedule C)
4. Mortgages/Notes Rec ivable [Schedule D)
5. Cash/Bank Deposits/ isc. Personal Property (Schedule E)
6. Jointly Owned Prope ty (Schedule F)
7. Transfers CScheduleG)
8. Total Assets
APPROVED DEDUCTIONS AN EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabi ities/Liens (Schedule I)
cl) 218, 900.00
c2) .00
C3) .00
(4) .00
C5) .00
C6) .00
(~) .00
(9)- l g 0 7
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
(8) 218 900.00
11. Total Deductions ' (lo) 42 999.63
12. Net Value of Tax Ret rn
13. Charitable/Gover (11) 61,044.8 5
nmen
14. Net Value of Estate al Bequests; Non-elected 9113 T rusts C12)
(Schedul 157, $55.15
ubject to Tax e J)
c13) 00
NOTE: If an assessmen was issued previousl (14) .
157 855.15
reflect figures
ASSESSMENT OF that y,
include the total 1 18
~
7 and 19
TAX:
15. Amount of ALL returns assessed
to
date will
of Line 14 at
16. Amount of Line 14 tax
blesat
L
(15) .
00
17. Amount of Line 14 at ineal/Class A rate
C16)
.
X 00 =
- 1 S~ R~
• 00
18. Amount of Line 14 t ibling rate
(17) ~~ x 045 =
nD 7,103.48
ax~
19. Principal Tax Due ble at Collateral/Class B rate
C18) X 12
.00
TAX CREDITS: i .00 X 15 = .00
PAYMENT RECEIPT (19)= 7, 103 48
DATE NUMBER
-nZ_~n,~
uaJl-V UIVI (f]
INTEREST/PEN PAID (-) AMOUNT PAID
.00
f 1 U J .
BALANCE OF UNPAID INTERE~
* IF PAID AFTER DATE INDICATED,
FOR CALCULATION OF ADDITIONAL
T/PENALTY AS OF 08-04-2011 TOTAL TAX PAYMENT
BALANCE OF TAX DUE 7,103.48
INTEREST AND PEN. •00
62.91
TOTAL DUE 62.91
SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), y0U MAY BE Dl
INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FDR INSTRUCTIONS.