HomeMy WebLinkAbout12-05-11NOTICE OF INHERITANCE TAX Pennsylvania ~
`1'!~~'~'~t'AI'S E ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES ~ ,,~~ ~~ DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION D~ D ~.C~T~;ONS AND ASSESSMENT OF TAX
PO BOX 280601 ~ [.,;~;; REV-1547 EX AFP (12-10)
HARRISBURG PA 17128-0601 ~ ` ~
~~'~ I ~L.~ -j ~?~w~ ~; ~~ DATE 11-28-2011
ESTATE OF FISHER SHIRLEY D
C~E~K ~~- DATE OF DEATH 10-23-2010
~~~N/~~;; `;~(~,!RT FILE NUMBER 21 10-1187
EDMUND G MYERS CUA~pFcF'' f`f'...~'! `-"y ~~ COUNTY CUMBERLAND
ACN 101
301 MARKET ST APPEAL DATE: 01-27-2012
PO BOX 109 (See reverse side under Objections)
LEMOYNE PA 17043 Amount Remitted
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 F--
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REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE _ _
_____
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: FISHER SHIRLEY DFILE N0.:21 10-1187 ACN: 101 DATE: 11-28-2011
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED V
ALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) 00
2. Stocks and Bonds (Schedule B)
~2) .
6,48 5.04 NOTE: To ensure proper
credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .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) C5) .
4 2,4 94.84 tax payment.
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) ~7) 461 , 940.16
8. Total Assets
APPROVED DEDUCTIONS AND c8) 510 , 920.04
EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses [Schedule H) C9)__ 17.4 0 .8
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10)_ 8,372.06
11. Total Deductions
12 X11) 25,777.88
. Net Value of Tax Return ~1P) 485, 142.16
13. Charitable/Governmental Bequests; Non-elected 9113 Tr usts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax
C14) _ 485.142.16
NOTE: If an assessment was issued previously, li nes 14, 15 and/or 16
17 18
d
reflect figures that include the total of
ALL ,
,
returns assessed to d an
19 will
ate
ASSESSMENT OF TAX: .
15. Amount of Line 14 at Spousal rate C15) .00 X 00 = 00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) _ 48+.147 16 X 045 = .
17
Amou
t
f Li 21,831.40
.
n
o
ne 14 at Sibling rate (177 0
0 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .00 X 15 = 00
19. Principal lax Due .
TAX CREDITS: C19)= 21,831.40
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
01-22-2011
07-22-2011 CD013932 526.32 10,000.00
CD014763 .00 11,305.08
TOTAL TAX PAYMENT 21,831.40
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 D1~
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. +~