HomeMy WebLinkAbout07-15-11~~'(`n"~ ~ ~` rrl~}~,~ ~OTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL rax~=' ^ d`~Pf~~~~EMENT, ALLOWANCE OR DISALLOWAMCE
INHERITANCE TAX DIVISION ~~~"'~-'''-"~ "'~ O'F--'DEDUCTIONS AND ASSESSMENT OF TA.X
PO BOX 2806D1
HARRISBURG PA 17128-0601
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CLERK Or
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CARRYL L WALTER
253 KEY W BLVD
CARLISLE PA 17015-8546
pennsylvania" i
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-10)
DATE [17-•12-2011
ESTATE OF SETLOCK EVELYN A
DATE OF DEATH tl4-•14-2011
FILE NUMBER `e.'1 11-0499
COUNTY CUMBERLAND
AC N ]. 0 ].
APPEAL DATE: 09-10-2011
(See reverse sia'e under Objections)
Amount RemittedlC
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF~ 4JILLS
1 COURTHOUSE SQUARE
CARLISLE F'A 17013
CUT ALONG THIS LINE ---- ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
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REV-1547 EX AFP (12-10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SETLOCK EVELYN AFILE N0.:21 11-0499 ~1CN: 101 DATE: 07-12-2011
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHC,NGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
L0. Debts/Mortgage Liabilities/Liens (Schedule I)
(1) _ •00 NOTE: To ensure proper
C2) _ ,Op credit to your account,
00 submit the upper portion
~3) .
- of this form with your
(4) _ • 00 tax payment.
c5) 20,859.58
c6) _ .00
c7) .00
c8) 20,859.58
c9) JZ;, 294.48
clo) .00
11. Total Deductions (11) 6,294.48
12. Net Value of Tax Return X12) 14,565.10
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax (14) 14,565.10
NOTE: If an assessment was issued previously, lines 14, 15 anti/or 16, 17, 18 and 19 will
reflec t 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) 14.~,Fj~10_ X 045 = 655.43
17. Amount of Line 14 at Sibling rate (17) ~ p0 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) _ 00 X 15 = .00
19. Principal Tax Due (19)= 655.43
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
04-25-2011 CD014354 32.77 622.66
TOTAL TA:K IPAYMENT 655.43
BALANCE CIF TAX DUE .00
INTEREST AND PEN. .00
TOTAL. L)UE .00
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE~UE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.