HomeMy WebLinkAbout12-19-12_ NOTICE OF INHERITANCE TAX
BuREau OF INDIVIDUAL TAXES `~+ ~~~~"~IS~~1,~~7{;~t~-ALLOWANCE OR DISALLOWANCE Pe'nnsy(vania ~
INHERITANCE TAX DIVISION _ Of- DEDU,Cfi~'bN$ AND ASSESSMENT OF TAX
PO BOX 280601 DEPARTMENT OF REVENUE
HARRISBURG PA 1.7128-0601
""'~ REV-1547 EX AFP C12-10)
.. " ~ '~
CC.Ef'~ r~r
.' '?A
TAYLOR P ANDREWS ~L~''(~ ' E~ ?~+
78 W POMFRET S
CARLISLE PA 17013
CUT ALONG THIS LINE
REV-1547 EX AFP (12_1
ESTATE OF: STEPHAN
TAX RETURN WAS: (X) gCCEPTED AS FILED •
APPRAISED VALUE OF RE URN BASED ON: SUPPLEMENTAL RETURN ( ) CHANGED
1. Real Estate (Schedule A) ND• 0 2
2. Stocks and Bonds CS hedule B)
3. Closely Held Stock/ artnership Interest (Schedule C)
4. Mortgages/Notes Rec suable [Schedule D)
5. Cash/Bank Deposits/ isc. Personal Property (Schedule E)
6. Jointly Owned Prope ty (Schedule F)
7. Transfers (Schedule~G)
8. Total Assets
APPROVED DEDUCTIONS AN EXEMPTIONS:
9. Funeral Expenses/Adm.
10. Debts/Mortgage Liabi sties/Liens (Schedule I)chedule H)
11. Total Deductions ~!
12. Net Value of Tax Ret rn
13. Charitable/Governmen al Bequests;
14. Net Value of Estate ubject to Tax
(1) .00
C2) .00
C3) .00
C4) .00
C5) 45, 415.45
(6) .00
v) .00
2=12-2011
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
(B) 45 415.45
C9)- 1 X00 nn
Clo) .00
Non-elected 9113 Trusts (Schedule J)
DATE 12-12-2011
ESTATE OF STEPHAN
DATE OF DEATH 02-28-2010 ELAINE S
FILE NUMBER 21 10-0249
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 02-10-2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: If an assessmen
l
reflect figures
ASSESSMENT OF TAX: that Y,
include the to
~'al
15. Amount of Line 14 at ~pousal rate
16. Amount of Line 14 tax ble at
Lineal/Class A
17.
18 Amount of Line 14 at ~
ibling
~ ra e
rate ~
. Amount of Line 14
19. Principal Tax Due
TAX CREDITS:
DATE NUMBER
05-06-2010
08-18-2010 CD- U5
05-11-2011 CD013220
CD014453
07-19-2011 CD014731
~ _-RETAIN-LOWER POR_TION_ FOR YOUR RECORDS ~
----- ------
~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ELAINE SFILE N0.:21 10-0249 ,..
ACN• ---
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns assessed to date.
le at Collateral/Class B'rate
.aowunr (+)
INTEREST/PEN PAID (-)
355.26
.00
.00
58.02-
AMOUNT PAID
cll) 1,200.00
C12) 44,215.45
C13) . 00
C14) 261 638.79
00 = .00
045 = 11,773.75
12 = .00
15 = .00
C19)= 11 , 775.10
o,.~u.uu
1,403.12
1,309.50
2,080.65
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
', INTEREST AND PEN.
~ IF PAID AFTER DATE INDICATED,I~ SEE REVERSE
FOR CALCULATION Df ADDITIONALI INTEREST.
C15) . 00 X
(16)_261 6iR 79 X
C17) np X
Cla) .00 X
TOTAL DUE
11,840.51
65.41CR
.00
65.41CR
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YDU MAY BE DU
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.