HomeMy WebLinkAbout05-29-12BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX OIV ISION
~~ ~~ ~ YE pLLpWANCETORCDISALLOWANCE
~~ !APPRAkS
P "~.: OP DEb IONS AND ASSESSMENT OF TAX
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CUMBERLAND CO.. PA
GERALD J BRINSER
6 E MAIN ST
PO BOX 323
PALMYRA
pp 17078-0323
Pennsylvania •
DEPARTMENT 4F REVENUE
REV-1547 EX AFP (12-ill
DATE 05-21-2012
ANDREWS GERALDINE S
ESTATE OF
ppTE OF DEATH 07-27"2011
FILE NUMBER 21 11-0922
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 07-20-2012
(See reverse side under Objections )
Amount Remitted
MAKE REGISTER OF WILLNS REMIT PAYMENT T0:
1 COURTHOUPA SQ~oR3
CARLISLE
~.~- RETAIN_LOWER_PORTION_FOR_YOUR_RECORDS_ r ----------------"-"
CUT_ALON6_THIS_LINE______________ ppTE: 05-21-2012
REV-1547 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE
DISALLOWANCE OF DEDc C nIONS AND O SZZ SSMENT OF TAX
ACN: 101
ESTATE OF:
-~
TAX RETURN WAS: (X1 ACCEPTED AS FILED
ORIGINAL RETURN
VALUE OF RETURN BASED ON:
APPRAISED
1, Real Estate (Schedul¢ A)
2, Stocks antl Bonds (SChetlule B)
3, LlpselY Neltl Stock/Partnership Interest CSChedul¢ C)
4. Mortgages/Notes Receivable cSch¢tlule D) (Schedule E)
5. Cash/Bank Deposits/Misc. Personal Property
5, Jointly Owned Property (Schedule F1
T. Transfers (Schedule G)
g, Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
30. Debts/MOrt9a9¢e Liabilities/Liens (SChetlule I)chetlule H7
11
12
13
14
CHANGED
(11
czl
(31 ~
(41 6
(51 ~
(61 ~
NOTE: To ¢nsu re proper
credit to your account,
submit th¢ upper portion
of this form with Your
tax payment.
c71~-' 68 686.17
(el
7 440-50
c91~-- 4 946.14
(lol~-~ 7,386.64
till 61,299.53
uzl mn
Total Deductions
Net Value of Tax Return Nonelected 9113 Trusts (Schedule ~~
ble/Governmental Beouests;
f ALL returns assesse
Charita
Net Value of Estate Subiect to Tax ~ ,<TV. lines 14, 15 and/Or 16,
d
NOTE: It an assessment was is>°°° " -- total
reflect figures that include the
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Lin¢ 14 taxable at rateal/Class A rate
t Sibling
c131 ~53
(14)
17, 18 and 19 will
to date.
00
17, Amount of Line 14 a
18. Amount of Line 14 taxable at Collateral/Class B rate
1q Print;pal Tax Due
TAX CREDITS: RECEIPT DISCOUNT (~~
PAYMENT uuMBER INTEREST/PEN PAID ('~
nn7E 135 26
rnnIS123 .00
10-26-[ul. I CD015289
12_p2-2011
,~.,,.__
53.22
TOTAL TAX PAYMENT 2,758.00
BALANCE OF TAX DUE ,00
INTEREST AND PEN. ,00
TOTAL DUE ~
* FO RP LAD LULATIONA OF ADDITIONAL INTERESTRSE
IF TOTAL DUE IS REFLECTED AS A '•LRED IT" (CR1, VOU MAY B^•a~
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
c151~~ X 00 °
7qq-F~ x 045
(161 6I
(177 ~~ X 12
(18)~ X 1591-
AMOUNT PAID