HomeMy WebLinkAbout09-14-11BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17126-0601
JERRY A WEIGLE
126 E KING ST
SHIPPENSBURG
NOTICE OF INHERITANCE TAX
APPRAISEMENT OWANCE OR DISALLOWANCE
~~~Pi,p~b'U~iT~~I,~:AND ASSESSMENT OF TAX
pennsyLvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-10)
_ DATE 09-05-2011
k''' I ~~.~ ~ 1# f f Ir.'~ C.)v ESTATE OF BOOZ ERMA R
DATE OF DEATH 10-27-2010
CLERK 0~ FILE NUMBER 21 10-1214
ESQ ~~~~'~ ~,.~ ~ ~ ~A ACNNTY l OIBERLAND
APPEAL DATE: 11-04-2011
P A 17 2 5 7 (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 _ ~ R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS ~ _ _______________
REV-1547 EX AFP C12-10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: BOOZ ERMA RFILE N0.:21 10-1214 ACN: )n) neTEr no-n~_~nII
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .00
NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest [Schedule C) (3) .00 submit the upper portion
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) 328.4 7
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .0 0
8. Total Assets (8) 328.47
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q) 207.50
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 122,330.51
11. Total Deductions C11) 122,538.01
12. Net Value of Tax Return (12) 122,209.54-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax C14) 122,209.54-
NOTE: If an assessment was issued previously,
reflect figures that include the total
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns assessed to date.
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
(15) . 00 x
C16) .00 X
C17) . 00 X
(18) . 00 X
00 = .00
045 = .00
12 = .00
15 = .00
(19)= .00
r DATE I I NUMBER I INTEREST/PENT PAID (-) I AMOUNT PAID
TOTAL TAX PAYMENT .00
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" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.