HomeMy WebLinkAbout07-29-11NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL ~A7CES'"' '-t A~'~~~~EMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX Drv1s1oN - ~ ..,Q~CDEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 ~~..t_.~ ._ ...,_'~
HARRISBURG PA 17128-0601
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LUTHER E E~~11t~~~~;~~ 1,~,. PA
667 MESSERSMITH RD
CLEARVILLE PA 15535
(1) .00
(z) .00
(3) .00
(4) .00
c5) .00
(6) 32, 604.81
(7) .00
CUT ALONG THIS LINE -) RETAIN LOWER PORTION FOR YOUR RECORDS E~
REV-1547 EX AFP (12-10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: EPPINGER MATHA IFILE N0.:21 11-0588 ACN: 101 DATE: 07-18-2011
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
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)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
Pennsylvania
DEPARTMENT OF REVENUE ~,
REV-1547 EX AFP (12-10)
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
(8) 32.604.81
(9) .00
(lo) .00
11. Total Deductions (11) .00
12. Net Value of Tax Return (12) 32,604.81
13. Charitable/Governmental Bequ ests; Non-elected 4113 Trusts (Schedule J) (13) DO
14. Net Value of Estate Subject to Tax (14) 32,604.81
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 C16) 39.604.81 x 045 = 1,467.22
17. Amount of Line 14 at Sibling rate C17) .00 X 12 = .0 0
18. Amount of Line 14 taxable at Collateral/Class B ra te C18) .00 X 15 = .00
19. Principal Tax Due C19)= 1,467.22
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
05-18-2011 CD014481 .00 1,467.22
DATE 07-18-2011
ESTATE OF EPPINGER MATHA I
DATE OF DEATH 01-31-2011
FILE NUMBER 21 11-0588
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 09-16-2011
(See reverse side under Objections)
Amount Remitted C
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TOTAL TAX PAYMENT 1,467.22
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), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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