HomeMy WebLinkAbout06-06-11pp[[//~~((~~[[~~ ~~''~~((''~~NOTICE OF INHERITANCE TAX Pennsylvania ~
BUREAU OF INDIVIDUAL TAXE~:C.V1JF~'v~.~'~`NCtNT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION /'~t(~[1'",^, (~t~CUCTIDNS AND ASSESSMENT OF TAX
PO BOX 280601 ~~t~~J~C~ j L,,~ ~ i,,~ REV-1547 EX AFP C12-10)
HARRISBURG PA 17128-0601
~d~ ~ J~~ '6 P~l ~~~ ( ~ DATE 05-23-2011
ESTATE OF GOETZE JOSEPHINE T
~~ ~ DATE OF DEATH 07-30-2010
~~~ ~~ FILE NUMBER 21 10-0937
LISA MARIE CO`~11I~~~L.A~D CO., PA COUNTY CUMBERLAND
ACN 101
3901 MARKET ST APPEAL DATE: 07-22-2011
CAMP H I L L PA 17 011 (See reverse side under Objections)
Anount Rewitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ---- ~--> RETAIN LOWER PORTION 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: GOETZE JOSEPHINE TFILE N0.:21 In-n9~~ ecu. ,~, ,,.T~_ ...- .., .._._
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) 00
2.
Stocks and Bonds (Schedule B)
C2) .
,00 NOTE: To ensure proper
credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .00 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D)
C4)
00 of this form with your
5.
Cash/Bank Deposits/Misc. Personal Property (Schedule E)
(5) .
10 0.0 0 tax payment.
6. Jointly Owned Property (Schedule F) C6) 18,'95 6.20
7. Transfers (Schedule G) (7) .00
8. Total Assets
APPROV
ED DEDUCTIONS AND EXEMPTIONS: c8) 19 , 056.20
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)__ 12.398.;g
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 78.50
11. Total Deductions C11) 12,476.88
12. Net Value of Tax Return (12) 6,579.32
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) 1.500.00
14. Net Value of Estate Subject to Tax (14) - 5,079.32
NOTE: If an assesswent was issued previously, lines 14, ~5 and/or 16, 17 , 18 and 19 will
reflect figures that include the total of ALL
ASSESS returns assessed to date.
MENT OF TAX:
15. Amount of
16
A
t Line 14 at Spousal rate C15) .UO X 00 = .0 0
.
moun
of
17
A
t Line 14 taxable at Lineal/Class A rate (16) ~.n79 'C7 x 045 = 228,57
.
moun
of Line 14 at Sibling rate (17) .fln X 12 = .00
18. Amount of
19
P
i
i Line 14 taxable at Collateral/Class B rate (18) .00 X 15 = .00
.
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TAX CREDITS: Tax Due C19)O 228.57
nca.car~ DiSCD UNT C+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAI~
03 14 2011 CD014133 .00 ~~a F;~ 1
TOTAL TAX PAYMENT 228,57
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 p "CREDIT" CCR), YOU MAY BED
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.