HomeMy WebLinkAbout04-08-11BUREAU OF 1~~~ T.l~X~S%~. ~,
INHERITANCE TA~f~ I1/PSiON ~ , ~{~' ~
PO BOX 280601 ~ ;~, ~ ; ;!_ ~ J
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX pennSy~Van~a ~ ~ ~ ~~~~~~~
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP C12-lo)
C~E~K C€
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301 MARKET ST
PO BOX 109
LEMOYNE PA 17043
DATE 03-28-2011
ESTATE OF NAFTZINGER CHARLES W
DATE OF DEATH 10-05-2010
FILE NUMBER 21 10-1259
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 05-27-2011
(See reverse side under Objections
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ---- --~ R_ETA_IN LOWER POR
TION
FOR YOUR RECORDS ~--
_
_
REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE _
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESS MENT OF TAX
ESTATE OF: NAFTZINGER CHARLES WFILE N0.:21 10-1259 ACN: 101 DATE: 03-28-2011
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) 0 0
2. Stocks and Bonds (Schedule B) C2) .
,0 0 NOTE: To ensure proper
credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .0 0 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D)
C4)
11 , 317
76 of this form with your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) .
.0 0 tax payment .
6. Jointly Owned Property (Schedule F) C6) .0 0
7. Transfers (Schedule G) C7) .0 0
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: c8) 11 , 317.76
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Cg) 11,4 6 9.4 9
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 27+727.88
11. Total Deductions
12• Net Value of Tax Return C11) 39, 197.37
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule C12)
J) C13) 27, 879 . 61 -
.0 0
14. Net Value of Estate Subject to Tax
C14) 27,879.61-
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 (15) .0 0 X 0 0 =
0 0
16. Amount of Line 14 taxable at Lineal/Class A rate C16) fl0 X 04 5 .
=
17. Amount of Line 14 at Sibling rate C17)
0 ~ X 12 .0 0
=
18. Amount of Line 14 taxable at Collateral/Class B rate C18)
.0 0 X 15 .0 0
=
0 0
19. Principal Tax Due .
TAX CREDITS: C19) = .0 0
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER 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" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIDNAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.