HomeMy WebLinkAbout08-31-11BuREau aF INDIVIDUAL TAxES ~~~ '.~ "' NOTICE OF INHERITANCE TAX
INHERITANCE iAx DIVISION APFRAhS,EM ,
PO Box 280601 OF b ~ ALLOWANCE OR DISALLOWANCE
HARRISBURG PA 171za-o6o1 ~ E~'?U,~~'IONS AND ASSESSMENT OF T
AX
n ~-'-~F'1 ti ~''-
h~i F
WILLIAM S DIC~~~~'~ ~~~ ~ ~ ~~~ `~~~
STE 210 ;. ,•: ~.~
13 W MAIN ST
WAYNESBORO
PA 17268
pennsy(vania
DEPARTMENT OF REVENUE ~~
REV-1547 EX AFP (12-10) `~_"""`"°-
DATE 08-22-
ESTATE OF 2011
DATE OF WENGER
DEATH 03-05_ MARY M
FILE NUMBER 21 2011
COUNTY 11-0324
ACN CUMBERLAND
APPEAL. DATE:
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CUT ALONG THIS LINE CARLISLE PA 17013
REV-1547 EX AFP C12.10) y __RETAIN-LOWER_POR_TION_ FOR YOUR REC__OR_DS_
NOTICE OF INHERITANCE TAX APPRAISEMENT ~ ______
ESTATE OF; DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
WENGER ALLOWANCE OR ---
MARY MFILE NO „
TAX RETURN WAS: ~ 21 11-0324 ACN: 101 DATE;
APPRAISED VALUE OF RETURN X ) ACCEPTED AS FILED 08-22-2011
1 • Real Estate (Schedule A) BASED ON: ORIGINAL RETURN ~ ) CHANGED
2• Stocks and Bonds (Schedule B) _
3• Closely Held Stock/Partnershi C1) ~~~ NOTE: To
4• Mort P Interest ensure proper
gages/Notes (Schedule C) 2)~~- credit to your
Receivable (Schedule submit acCOUnt,
5• Cash/Bank Deposits/Misc. D) (3)~-~- the upper portion
6. Jointl Personal Pro of this form with
Y Owned Pro Perty (Schedule E) C4)-~~ tax your
Perty (Schedule F) C5)~ 9~{,6~ 5=8 ~ payment.
~• Transfers (Schedule G)
c6) 12,816.79
B• Total Assets C7) -~
APPROVED DEDUCTIONS AND ,17~
EXEMPTIONS:
9. Funeral Expenses/qdm, Costs/Misc. ~$) 8 03
10. Debts/Mort Expenses 641.02
gage Liabilities/Liens Schedule H)
(Schedule I) f9)~-~•.48~
11. Total Deductions
~~ 42
12. Net Value X10)
of Tax Return
13. Charitable/Governmental Be nests;
cll) 7,911.40
14. Net Value of 4 Non-elected 9113 Trusts (Schedule J)
Estate Subject to Tax [12) 795, 729 • (2
NOTE: If an C13) .00
assessment was issued previously,
reflect fi t14) 795 729.62
ASSESSMENT OF 9ures that include lines 14, 15 and/air
TAX: the total of AFL returns 16, 17' 18 and
15. Amount of Line 14 at s assessed 19 will
16. Amount of pousal rate to date,
Line 14 taxable at Lineal/Class A X15)
17• Amount of Line 14 at Siblin rate '~~ X 00
9 rate C16) • 00
18• Amount of Line 14 c17) 79~~~Q == X 045 = 35,807.83
19. Princi taxable at Collateral/Class
pal Tax Due B rate X 12 -
TAX CREDITS: C18) .00
.00 15
DATE ..~..~lr i
NUMBER DISCOUNT C+)
-20-2011 CD014499 INTEREST/PEN PAID (-)
,.emu.
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
. x -
c19)_ • 00
35,807.83
T_
AMOUNT PAIL,
,ul/.44
TOTAL TA AX P Y'MENT
BALANCE OF 35'807.83
TAX DUE
INTEREST AND PEN, •DO
TOTAL DUE •00
IF TOTAL DUE IS • 00
A REFUND. REFLECTED q$ q "'CREDIT" (CR),
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS, DUE
_.A