HomeMy WebLinkAbout02-16-10--~ - NQT~Cf OF INHERITANCE TAX Pennsylvania ~
BUREAU OF INDIVIDUAL TAxES APPRAISFM'ErFI', ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~ r- ;;:q'F~,;pEt~l~'rIDN$ AND ASSESSMENT OF TAX
PO BOX 280601 REV-1547 EX AFP (12-D9)
HARRISBURG PA 17126-06D1
~~~~ ~~~ ~ ~ ~~ ! ~ ~2
DATE 02-08-2010
ESTATE OF EPPLER MERVIN A
V~..~~ i°`~ ~:~!' DATE OF DEATH 06-27-2006
C~~~ ;~i~~ t l.:~Ui~t± FILE NUMBER 21 06- 1112
"~' ' _' , ~~, COUNTY CUMBERLAND
DORIS R EPPLER
ACN 101
APT 2105 APPEAL DATE: 04-09-2010
5225 WILSON L N (See reverse side under Objections)
MECHANICSBURG PA 17055 Amount Remitted~-
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT AL
------ ONG THIS LINE -_-- -~ RETAIN LOWER PORTION FOR YOUR RECORDS E-
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REV-15
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47 EX AFP C12-09) NOTICE OF INHERITANCE _
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TAX APPRAISEMENT, ALLOWANCE ___
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: EPPLER MERVIN AFILE N0 .:21 06-1112 ACN: 101 DATE: 02-08-2010
TAX RETURN WAS: (X) ACCEPTE D AS FILED ( ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .00 NOTE: To ensure
2.
Stocks and Bonds (Schedule B)
C2) ,QQ proper
credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
4.
Mortgages/Notes Receivable (Schedule D)
(4)
0 0 of this form with your
. tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 237, 109.67
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 237.109.67
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (y) 4.07 .00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions (11) 4, 075.00
12. Net Value of Tax Return (12) 233,034.67
13. Charitable/Governmental Bequests; Non-elected 911 3 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax C14) 233, 034.67
NOTE: If an assessment was issued previously,
reflect figures that include the total
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
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns assessed to date.
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-)
(15) 233,034.67 X 00 = .00
(16) _ 00 x 045 = . 00
(ln _ n0 x 12 = . 00
(18) .00 X 15 = .00
(19)= . 00
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" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FDRM FOR INSTRUCTIONS. ~