HomeMy WebLinkAbout01-25-12BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
JOHN C OSZUSTOWICZ
104 S HANOVER ST
NOTICE OF INHERITANCE TAX pe'1111'S~/~V8111a ~
APPR CE OR DISALLOWANCE DEPARTMENT OF REVENUE
0 Or~.S~i~. ASSESSMENT OF TAX REV-1547 EX AFP (12-11)
3~~iM~t ~,i. ;+j~..u.~J
~~~~ ~~~ 25 p~ ,~ j~ATE 01-16-2012
J f STATE OF GRIFFIN LINDA S
C DATE OF DEATH 11-27-2006
~.C~~~~1 FILE NUMBER 21 11-0709
QRPf~AN'S ~Ol1RT COUNTY CUMBERLAND
~~II~EF21 Ai~i? C;Q . PA acN 101
CARLISLE PA 17013-3420
APPEAL DATE: 03-16-2012
(See reverse side under Objections)
Amount Remittedr-
MAKE CHECK PAYABLE AND REMIT PAYMENT TD:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~) RETAIN LOWER PORTION FOR YOUR RECORDS E~ --------------
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REV-1547 EX AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: GRIFFIN LINDA SFILE N0.:21 11-0709 ACN: 101 DATE: 01-16-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) •00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2)
.00
credit to your account,
00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) . of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) 5,288.00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) .00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets C8) 5,288.00
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) .00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions C11) .00
12. Net Value of Tax Return C12) 5,288.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) 5,288.00
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 C15) 5,288.00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) .nD x 04 5 = .OD
17. Amount of Line 14 at Sibling rate C17) .00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Glass B ra te C18) .00 X 15 - .00
14. Principal Tax Due (19)= .00
TAX CREDITS:
AMOUNT PAID
P DATE T I NUMBER I INTEREST/PEN PAID (-) I f
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE ,Op
INTEREST AND PEN. .00
TOTAL DUE .00
^ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FDRM FOR INSTRUCTIONS.
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