HomeMy WebLinkAbout11-23-11 (2)NOTICE OF INHERITANCE TAX `
BUREAU OF INDIVIDUAL rnx~s- ' ~• APPRALSE,~IENr, ALLOWANCE OR DISALLOWANCE Pennsylvania ~~`
INHERITANCE TAX DIVISION O~~•.I~"ED~'CTIONS AND ASSESSMENT OF T'AX ~ •
PO BOX 280601 DEPARTMENT OF REVENUE
HARRISBURG PA 17128-0601 ~~
_„ REV-1547 EX AFP (12-10)
' ~~ r
WILLIAM E MI ~ - ~~"'
r~ ,
1932 CHESTNUT~4ST
CAMP HILL PA 17011
DATE 11-14-2011
ESTATE OF TRISTAN
DATE OF DEATH 02-28-2011 THEODROE q
FILE NUMBER 21 11-0351
COUNTY CUMBERLAND
ACN ll01
APPEAL DATE: 01-13-2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CUT ALON_6 THIS LINE CARLISLE P,A 17013
REV-1547 EX AFP C12-10) N~ CEROFAINHERITANCERTAXNAPPRAISEMENECORDS ~
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENTAOFOTAXCE OR
ESTATE OF: TRISTAN
THEODROE AFILE N0.:21 11-0351
TAX RETURN WAS: ( AC:N: 101 DATE: 11-14-2011
APPRAISED VALUE n~ orr,,.~,.. _ X ) ACCEPTED AS FILED ( ~ runu.•~,.
~- ~^'~ D~-~tu pN: uKIGINAL 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)
(2) ---=o NOTE: To ensure proper
~~~00 credit to your account,
(3)-_ .00 submit the upper portion
(4) of this form with your
(5) -~~ tax payment.
.02
(e) 21 , 686.93
(7)-,_971 .26
(B) 481 658.19
11. Total Deductions (10) 2 $80.00
12. Net Value of Tax Return
13. Charitable/Governmental Be (11) 11,483.30
quests; Non-elected 9113 T
14. Net Value of Estate Subject to T rusts (12)
(Schedule J) 470, 174.91
ax
NOTE: If an assessment was issued previo (13)
(14) . 00
470 174.89
usly,
reflect figures that include the total
ASSESSMENT OF
i rns nd/or'
16, 17,
18 and
of
TAX:
15. Amount of Lin ALL retu
assessed to d 19 will
ate
e 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Cla
(15)
470, 174.89
X 00 .
ss A rate
17. Amount of Line 14 at Sibling rate (16) =
~ n x 045 = .00
18• Amount of Line 14 taxable at Coll x 12 •00
ateral/Class B rate
19. Principal Tax Due (lg) •00
TAX CREDITS: •OU x 15 = .00
PAYMENT
RECEIPT (19) . 00
DISCOUNT (+)
DATE NUMBER
INTEREST/PEN PAID (-) AMOUNT PAID
TOTAL TAX PAYMENT
BALANCE OF TAX DUE •00
INTEREST AND PEN. •00
TOTAL DUE •00
* IF PAID AFTER DATE INDICATED, SEE REVERSE •00
FDR CALCULATION DF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
- ~~