HomeMy WebLinkAbout11-23-11 (2)~~ 'r NOTICE OF INHERITANCE TAX
INHERITANCE Tax DIVrsION AP'P'R`A~SEMENT,
BUREAU OF INDIVIDUAL YES ALLOWANCE OR DISALLOWANCE
Pa BOX 280601 O~~DEDUCTIONS AND
HARRISBURG PA 171zs-a6o1 ASSESSMENT OF TAX
~ `. ~,;.
__ ..' _. _
BARBARA SM~L'~ SULtIV~1N f `~
549 BRIDGE ST
NEW CUMBERLAND PA 17070
p~ennsy(vania
DEPARTMENT OF REVENUE •
REV-1547 EX AFP (12-10)
DATE 11-14-2011
ESTATE OF TRIPLETT
DATE OF DEATH 11-28-2010 LAWRENCE A
FILE NUMBER 21 10-1192
COUNTY CUMBERLAND
ACN 101
APPEAL .DATE: 01-13-2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OIF WILLS
1 COURTHOU:iE SQUARE
CUT ALONG THIS LINE CARLISLE F'A 17013
REV-1547 EX AFP C12-10) NO ICEROFAINHERITANCERTAXNAPpRAYOUR RECORDS (.
ESTATE OF: DISALLOWANCE OF DEDUCTIONS AND ASSESSMENTAOFOTAXCE OR --""""
TRIPLETT LAWRENCE
AFILE N0.:2], 10-1199 wr..
i nx RETURN WAS; ~ X ) ACCEPTED AS FILED ~ ~ 1 u i -DATE : 11 -14 - 2011
APPRAISED VALUE nc orr...,.. _
- •- •..nn DA,ED 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
- ..nnr~u=L
(2) -_-~O NOTE: To ensure pro
(3)
.00 per
credit to your account,
~ ~ ,00 submit the upper porti
(4)
~~
~ on
of this form with your
cs) -
597, 087.31 tax payment.
~~) ~_ .00
c8) 597 087.31
C9)~~~
11. Total Deductions ) C10)
1 929.11
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; C11) 14, 052.43
14. Net Value of Estate Subject to Tax Non-elected 9113 Trusts (Schedule J) C12) 58 3,034.4 8
NOTE: C13) .00
If an assessment was issued previously, (14)
reflect figures that include the total of ALL returns ass 583 034.49
lines 14, 15 and/or 16, 17, 18 and 19 will
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate eSSed to d8te.
16. Amount of Line 14 taxable at Lineal/Class A rate C15)
17. Amount of Line 14 at Siblin (16) ~ ' 00 X 00 = . 00
9 rate R; ~~4 49 X 045 =
18. Amount of Line 14 taxable at Collateral/Class B rate C17) 26'236.55
19. Principal Tax Due x 12 .00
TAX CREDITS: C18) • 00 x 15 =
.00
PAYMENT C19)= 26 236 55
RECEIPT
DATE NUMBER DISCOUNT C+)
02-25-2011 INTEREST/PEN PAID (-)
07-21-2011 CD014061
CD014752 1,289.47
.00
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
AMOUNT PAID
»uu•UU
447.11
TOTAL TAX PAYMENT
BALANCE OF TAX DUE 26'236.58
INTEREST AND pEN, •03CR
TOTAL DUE •00
IF TOTAL DUE IS REFLECTED AS A .. • 03CR
A REFUND. SEE REVERSE SIDE OF THISEFORM FOR )INSTRUCTIONS,DUE