HomeMy WebLinkAbout08-16-11NOTICE OF INHERITANCE TAX Pennsylvania ~
BUREAU OF INDIVIDUAL TAXES ~~~~~~F*,~~~LOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE 7AX DIVISION ~~~~'' ~~~J '~' AND ASSESSMENT OF TAX
PO BOX 280601 f.~l i REV-1547 DC AFP C12-10)
HARRISBURG PA 1 7128-0601 ~~'~~~~ ~ ~•~~ .. +'i f~ ~.~~
"~j~ ~~~~ i~ ~..,`~~, ::~ DATE 08-01-2011
' '"'" ESTATE OF ZEITERS
JUNE S
DATE OF DEATH 02-18-2011
e~ER~ n~ FILE NUMBER 21 11-0256
~PN~~.~ vQ~~l COUNTY CUMBERLAND
JEAN D SEIBERT {~~J~~~r ~ r'~'~1 ~:. • P~ ACN
109 LOCUST ST 101
APPEAL DATE: 09-30-2011
HBG PA 17101 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALON_6 THIS LINE _ ~1 R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS F-- _
REV-1547 EX AFP C12-10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: ZEITERS JUNE SFILE N0.:21 11-0256 ACN: 101 DATE: 08-01-2011
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) 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,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D) of this form with your
C4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 5 2,114.56
6. Jointly Owned Property (Schedule F) ~6) .00
7. Transfers (Schedule G) ~7) .00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: ~$) 52.114.56
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) fig) .4 96.90
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 6+035.73
11. Total Deductions
12.
Net Value of Tax Return C11) 9,532.63
13.
Charitable/Governmental Bequests; Non-elected 9113 Trusts (12)
(Schedule J) 42,581.93
14.
Net Value of Estate Subject to Tax (13) .00
(14) 42,581.93
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16
17
18
reflect figures that include the total
of ALL ,
,
returns assessed to date and 19 will
ASSESSMENT OF TAX: .
15. Amount of Line 14 at Spousal rate (15) 00
00 =
16.
Amount of Line 14 taxable at Lineal/Class A rate
C16) .
X
47
81 .00
17.
Amount of Line 14 at Sibling rate .
_9~ x 045 = 1 916.19
,
C17) -n0 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B ra te C18) 00
15 =
19.
Principal Tax Due .
X .00
TAX CREDITS:
[19)=
1,916.19
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
I05 16 2011 CD014480 95.81 1,820.
TOTAL TAX PAYMENT 1,916.19
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF
FOR PAID AFTER DATE
CALCULATION OF INDICATED,
ADD SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR)
YOU MAY BE DU
ITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM ,
FOR INSTRUCTIONS.