HomeMy WebLinkAbout12-19-11NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TA~~1I_ ~ AP~~?/a-I~~MENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE rAX DIVISION OFI-;DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 ~- -.
HARRISBURG PA 17128-0601 ~ ~ '
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ROBERT G FR~ I~,~r. ~ ''j~_ ,~,~' PA
5 S HANOVER ST
CARLISLE PA 17013-3307
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-11)
DATE 12-19-2011
ESTATE OF WOOD SHIRLEY M
DATE OF DEATH 03-01-2011
FILE NUMBER 21 11-0323
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 _ y --R_ETA_IN-LOWER POR_TION_ FOR YOUR RECORDS E~-~
REV-1547 EX AFP C12-x'11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
----------------- __________
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DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: WOOD SHIRLEY MFILE N0.:21 11-0323 ACN:
101 DATE: 12-19-2011
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds l(Schedule B) C1) .0 0 NOTE: To ensure
(2) proper
3. Closely Held Stock/Partnership Interest (Schedule C) •00 credit to your account,
4. Mortgages/Notes REceivable (Schedule D) C3) .00 submit the upper portion
(4) of this form with your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) .0 0 tax payment.
6. Jointly Owned Property (Schedule F) (5) 3,458.00
7. Transfers (Schedule G) C6) 57, 001.50
8. Total Assets C7) .00
APPROVED DEDUCTIONS RIND EXEMPTIONS: ca) 60 459.50
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I) (9) 00
11. Total Deductions clo) .00
12• Net Value of Tax Return C11) 00
13. Charitable/Governmental Bequests; Non-elected 9113 T C12) .
60,4 59.5 0
rusts
14. Net Value of Estate Subject to Tax (Schedule J) (13) .00
NOTE: If an assessmAnt was issued previousl c14) 60.459 50
y,
reflect figures that include the total oft ALL
ASSESSMENT d
7 and 19 will
OF TAX: returns asses se
to
date
15. Amount of Line 14 aft Spousal rate
(15)
16. Amount of Line 14 tlaxable at Lineal/Class A rat 60,459.50 X 00 =
. 00
e
c16)
17. Amount of Line 14 alt Sibling rate ~~ X 045 = .00
18. Amount of Line 14 taxable at Collateral/Class B
1 ~~ X 12 =
.00
rate ~lg)
9. Principal Tax Due .00 X 15 =
TAX CREDITS:
C19)= .00
PAYMENT arrrr r .00
DATE ' I u15000NT (+) _
NUMBgR INTEREST/PEN PAID (_) AMOUNT PAID
TOTAL TAX PAYMENT
BALANCE OF TAX DUE •00
.00
INTEREST AND PEN.
.00
~ TOTAL DUE .00
IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS .A "CREDIT" CCR), YOU MAY BE D
v1y A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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