HomeMy WebLinkAbout07-10-12BUREAU OF INDIVIDUAL TAXES
INHERITANCE TA% DIVISION
PO BOX 260601
HARRISBURG PA 17128-0601
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NOTICE OF INHERITANCE TAX p@I111S~/~Val11d ~
AP ~yp `~~ 11.,p~~yANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
~U~T'i ~N~ ASSESSMENT OF TAX REV-1x47 Ex AFP (1z-11)
REG'STt~ 0~ `~~1'
2~a2 JUL 10 PM 121 ( 2 DATE 0'7-02-2012
ESTATE OF BURWELL JOYCE N
DATE OF DEATH 12-30-2010
nppC~~F~ v" FILE NUMBER 21 11-0155
Vnr HANDS COURT COUNTY CUMBERLAND
RONALD J BURWELL MH10C~D~ ~ pCN 101
19 PARK DR V APPEAL DATE: 08-31-2012
DILLSBURG PA 17019-1383 (See reverse side under Objections)
Amount Renitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SpUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ---- ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
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REV-1547 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: BURWELL JOYCE NFILE N0.:21 11-0155 ACN: 101 DATE: 07-02-2012
TAX RETURN WAS: C X ) ACCEPTED AS FILED ( 7 CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate CSChetlule A) C1) •00 NOTE: To ensure proper
.00 credit to your account,
2. Stocks and Bonds (Schedule B) (2)
.00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) of this formwith your
4. Mortgages/Notes Receivable (SChetlula D) (4) •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Pro perky (Schedule E) (5) 421.08
6. Jointly Owned Properky (Schedule F7 (6) .00
7. Transfers (Schedule G) (7) .00
e. Total Assets (s7 421.03
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (g) .DO
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 2149.63
11. Total Deductions (11) 2.149.63
12. Net Value of Tax Return (12) 1.728.60-
13. Charitable/Governmental Bequasks; Non-alecYed 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 1.728.60-
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16. 17, 18 and 19 will
reflec t figures that include the total of ALL returns assessed to date.
ASSESSMENT DF 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) .DO X 045 = .00
17. Amount of Line 14 at Sibling rata (17) .DO X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B ra ke (187 .00 7( 15 - .00
19. Principal Tax Due (19)= .00
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-) AMOUNT PAID
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), VOU MAY BEaj~
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE DF THIS FORM FOR INSTRUCTIONS