HomeMy WebLinkAbout12-19-11~.,NpT<LC.E '„,Q£F INHERITANCE TAX Pennsylvania ~ ;
~!A•P!'P'R:ALS£M~N'LF. ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES -,D~F D~DUC~'rbF~S AND ASSESSMENT OF TAX REV-1547 EX AFP (12-11)
INHERITANCE TAX DIVISION _._ •
PD BOX 260601
HARRISBURG PA 17128-0601
~ ~'~_"; ~'~ ~,~' ~ DATE :L2-19-2011
ESTATE OF CLARKE MICHAEL R
.,,_~ DATE OF DEATH 04-03-2011
C~F~'~ `~ FILE NUMBER 21 11-0518
~ , ,;- , , ~ , -=~"~ COUNTY CUMBERLAND
BETTY NESHTER~AK C~~' ` ~ 't,.~' ~ ACN 101
136 FRONT ST APPEAL DATE: 02-17-2012
(See reverse side under Objections)
CENTRE HALL PA 16828-9145
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 REC_O_R_D_S___!_--_________________
________________ ALLOWANCE OR
NT OF TAX
REV-1547 EX AFP (1211)DISALLOWANCENOFRDEDUCTIONS ANDRASSESSME
ESTATE OF: CLARKE MICHAEL RFILE N0.:21 11-0518 ACN: 101 DATE: 12-19-2011
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
C1) .00 NOTE: To ensure proper
1. Real Estate (Schedule A) .00 credit to your account,
2. Stacks and Bonds (Schedule B) C2) submit the upper portion
.00 of this form with your
3. Clasely Held StOCk/Partnership Interest (Schedule C) (3)
I4) • 00 tax payment.
4. Mortgages/Notes Receivable (Schedule D) 3,615.96
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) ,00
6. Jointly Owned Property (Schedule F) C6)
c7) .00
7. Transfers (Schedule G)
c8) 3.615.96
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
1,881.50
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9)
8.096.81
10 Debts/Mortgage Liabilities/Liens (Schedule I) C10)
9,978.31
cll)
11. Total Deductions
(12) 6,362.35-
12. Net Value of Tdx Return
(13) .00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 35-
362
6
14. Neat Value of Estate Sub]ect to Tax
(14) .
,
If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 a nd 19 will
NOTE:
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX: ,00 x 00 = .00
15. Amount of Line 14 at Spousal rate C15)
OO x 045 =
.00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) _
= 00
17. Amount of Line 14 at Sibling rate (17) .0 ~ X 12 .
00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .00 X 15 =
(19)= .
.00
19. Principal Tax Due
TAX CREDITS:
PAYMENT ECEIPT DISCOUNT (+) AMOUNT PAID
DATE .NUMBER INTEREST/PEN PAID C-)
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 DU~y
FOR CALCULATION OF ',ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~"'