HomeMy WebLinkAbout12-19-11NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES t~ ~(A~PR~A$SE~,~N'~}~ ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION OF' DEDUC~T;3ONS AND ASSESSMENT OF TAX
PO BOX 280601
HARRISBURG PA 17128-0601 `..J
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CAMP HILL PA 17011
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DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-11)
DATE 12-19-2011
ESTATE OF WHITE GREGORY A
DATE OF DEATH 09-20-2010
FILE NUMBER 21 10-1138
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 02-17-2012
(See reverse side under Objections)
Amount Remitted)
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE_ SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE _ --")--R_ETA_IN LOWER POR_TION
FOR YOUR
REV-1547 E RECORDS •-
_
X AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE
DISALLOWANCE O
--------------
OR
F DEDUCTIONS AND ASSESS
ESTATE OF: WHITE MENT OF TAX
GREGORY AFILE N0.:21 10-1138 ACN: 101 DATE: 12-19-2011
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE
OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B) (1) X00 NOTE: To ensure proper
C2)
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .0 0
7,852.44 credit to your account,
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)
118.84 tax payment.
6. Jointly Owned Property (Schedule F)
C6)
7. Transfers (Schedule G) .00
C7J 312, 02
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: c8) 319,993 28
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 1
C9)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
.000 00
Clo) .00
11. Total Deductions
12• Net Value of Tax Return C11) 1,000.00
13. Charitable/Governmental Bequests; Non-elected 9113 Tru
t C12) 318,993.28
s
s (Schedule
14. Net Value of Estate Subject to Tax J)
C13) •00
c14)
NOTE: If an assessment was issued previously, lines 14
15 318.993 28
,
a
reflect figures that include the total of ALL nd/ar 16, 17,
and 19 will
returns
ASSESSMENT OF TAX: assessed to d to
15. Amount
1 of Line 14 at Spousal rate (15) 318,993
28 00 =
6. Amount of Line 14 taxable at Lineal/Class A rate (16) .
x .00
17. Amount of Line 14 at Sibling rate n0 x 045 = .00
18. Amount
of
Line
14
taxable at
Collateral/Class B rate c17)
(18) nn x
00 12 = .00
19. Principal
Tax Due .
x 15
.00
TAX CREDITS: C19)= .00
DATE
NUMBER I INTEREST/PEN PAID C-) 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 CALCULATIDN OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.