HomeMy WebLinkAbout04-13-12,,_ .~
imp t NOTICE OF INHERITANCE TAX Pennsylvania ~ ~ } ~`
BUREAU OF INDIVIDUAL TAXES ~'i{ r~.f ''pt~~[,~~~~' ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION L,~-;-~~-. OF ;~Df~I-QT?IONS AND ASSESSMENT OF TAX REV-1547 IX AFP C12-lll
PO BOX 280601 ~ ~Cl i, ! ~.;} '~_:; _ ~. J
HARRISBURG PA 17128-0601
~~°,'^ cnr~ I _ DATE 04-09-2012
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ESTATE OF COOMBE SHIRLEY M
DATE OF DEATH 06-27-2010
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~ FILE NUMBER 21 10-0668
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~ COUNTY CUMBERLAND
THOMAS E FLOWER C~J;~~~~,,.;';L,+~aJ lv.l,l., s?4, ACN 101
10 W HIGH ST APPEAL DATE: 06-08-2012
CARLISLE PA 17013-2922 (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 POR
-------------------------------------------- TION FOR YOUR RECORDS E~
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REV-1547 EX AFP C12-11) NOTICE OF INHERITANCE ---------------------------------------------
TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTI ONS AND ASSESSMENT OF TAX
ESTATE OF: COOMBE SHIRLEY MFILE N0.:21 10-0668 ACN: 101 DATE: 04-09-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) 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) 11,234.98 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) •0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Sched ule E) C5) 2 2,032.11
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
B. Total Assets (8) 33,267.09
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Sched ule H) (g) 97.
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 189.034.30
11. Total Deductions (11) 191,631.41
12. Net Value of Tax Return (12) 158,364.32-
13. Charitable/Governmental Bequests; Non-elected 911 3 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) 158,364.32-
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
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
cls) .00 X
C16) _ 00 X
C17) _ 00 X
(18) . 00 X
00 = .00
045 = .00
12 = .00
15 = .00
(19)= .00
PAYMENT RECEIPT DISCOUNT (+) r AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-) I
TOTAL TAX PAYMENT .00
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" (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~j
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