HomeMy WebLinkAbout12-19-12~,,~ NOj~CE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES " - ~Af'PRik2S~Mt~N i , ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ,OF D~~~TION$ AND ASSESSMENT OF TAX
PO BOX 280601 ~` "
HARRISBURG PA ll7128-0601
~- ., f.J ,, i ".
~ ~~~.
BRADLEY L GRI ~'PE', ~ ~ ~~' „'
200 N HANOVER~ST
CARLISLE I PA 17013
Pennsylvania ~~,
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-10)
DATE 12-12-2011
ESTATE OF PETER ROLF
DATE OF DEATH 06-14-2009
FILE NUMBER 21 09-0575
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 02-10-2012
(See reverse side under Objections)
Asount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
CUT ALON6_THIS_LINE ~ ~ --RETAIN-LOWER POR_TION_ FOR YOUR RECORDS ~--~ _
- --------- ------
REV-1547 EX AFP C12-1
O) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
. DISALLOWANCE OF DEDUCTIONS AND ASSESSM
ESTATE OF. PETER ' ENT OF TAX
ROLF FLLE N0.:21 09-0575
ACN: )ni Herr.
TAX RETURN WAS: (X) ACCEPTED AS FILED
APPRAISED VALUE OF RE URN BASED ON: ORIGINAL RETURN
1. Real Estate CSched~le A)
2. Stocks and Bonds C chedule 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 Prop~rty (Schedule F)
7. Transfers (Schedule) G)
8. Total Assets
APPROVED DEDUCTIONS A D EXEMPTIONS:
9. Funeral Expenses/Ad Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liab'lities/Liens (Schedule I)
~ ) CHANGED
12-12-2011
(1) '00 NOTE: To ensure
C27 proper
.0 0 credit to your account,
C3) .00 submit the upper portion
C4) of this form with your
.00 tax payment.
c5) 161 , 222.65
c6) .00
t7) .00
~9) > > 0 09
clo) 45
c8) 161 222.65
11. Total Deductions ' 0.16
12• Net Value of Tax Re urn (11) 11,800.25
13. Charitable/Governme tal Bequests; Non-elected 9113 T C12) 14 9,4 22.4 0
14. Net. Value of Estate rusts
Subject to Tax (Schedule J)
C13) .00
NOTE: If an assessmen t was issued previousl C14J 149,422 40
reflect figure
ASSESSMENT y, lines
that include the total of ALL 14,
~
7 and 19 will
OF TAX: returns assessed
to
d ate
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 to able at Lineal/Class A rate (15) '00 X 00 = .00
17. Amount of Line 14 at Sibling rate C16) ~~ x 04 5 =
. 00
18. Amount of Line 14 to c17)
able at Collateral/Cl X 12 .00
19. Principal Tax Due ! ass B rate [18) 149,422.40
X 15 = 22, 413
36
TAX CREDITS: ~ c19)= .
22,413
36
PAYMENT RECEIP .
DATE
NUMBER DISCOUNT (+)
09-09-2009 CD0117 INTEREST/PEN PAID (-) AMOUNT PAID
2
1 , 120 . 67
-,. .. _ _
,uuu.
TOTAL TAX PAYMENT
I, BALANCE OF TAX DUE 25'120.67
2,707.31CR
INTEREST AND PEN. .00
TOTAL DUE 2,707.31CR
* IF PAID AFTER DATE INDICATE , SEE REVERSE
FOR CALCULATION OF 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.