HomeMy WebLinkAbout07-15-11~,~ ~ ~, ~ ,(`~(} NOTICE OF INHERITANCE TAX Pennsylvania ,,~'~
~~~~~ ,`Ii41P'PRY1~ISEMENT, ALLOWANCE OR DISALLOWANCE: DEPARTMENT OF REVENUE ~i
BUREAU OF INDIVIDUAL TA,YrE& :srl!}},,
INHERITANCE TAX DIVISION rj!,_~:~;.~;"~~ ._ ~'+'~_lil.~ DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (12-10)
PO BOX 280601
HARRISBURG PA 17126-0601
~, ~ ~'
... „ v~.~4_ ~ ~ I :`i '~: I DATE C17-12-2011
CLERK ~~
CRPI-';^~"d'S COURT
STEPHEN R ~ACKLER
APT 4
1301 SWATARA PARK RD
MIDDLETOWN PA 17057
ESTATE OF F~AC:KLER ROBERT B
DATE OF DEATH C12-•18-2011
FILE NUMBER `e!1 11-0259
COUNTY C:UPIBERLAND
ACN ]. 0 ].
APPEAL DATE: 09-10-2011
(See reverse sia~e under Objections)
Amount Remittedl~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER Of= 6JILLS
1 COURTHOUSE SQUARE
CARLISLE F'A 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR
-------------------------------------- RECORDS ~•
---------------
-----------------
---------------------
REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEM ENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSES SMENT OF TAX
ESTATE OF: FACKLER ROBERT BFILE N0.:21 11-0259 /\CW: 101 DATE: 07-12-2011
TAX RETURN WAS: C 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) C2) _ ,00 credit to your account,
00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .
_ of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) _ •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 11.0,0 32.35
6. Jointly Owned Property (Schedule F) (6) _ .00
7. Transfers CSchedule G) (7) _ .00
8. Total Assets (8) 110,032.35
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) LL:4 84.31
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 14,501.58
11. Total Deductions (11) 25,985.89
12. Net Value of Tax Return (12) 84,04b.46
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedu le J) (13) .00
14. Net Value of Estate Subject to Tax (14) 84,046.46
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) _.00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) fi4.0i}~.46 x 045 = 3,782.09
17. Amount of Line 14 at Sibling rate (17) _.00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) _.00 X 15 = .0 0
19. Principal Tax Due (19)= 3,782.09
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) I AMOUNT P~4ID
DATE NUMBER INTEREST/PEN PAID (-)
04-27-2011 CD014371 189.10 3,592.99
TOTAL TAX PAYMENT 3,782.09
BALANCE OF TAX DUE .00
INTEREST' AND PEN. .00
TOTAIL '.DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTEII AS A "CREDIT" (CR), YOU MAY BE D~
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.