HomeMy WebLinkAbout12-19-11NOTICE OF INHERITANCE TAX n ~r -
suREau of INDIVIDUAL TaxES APPRA~$ME~{T, At<sQWA~E OR DISALLOWANCE pC'11115~/LVal1~a ~ '~`
INHERITANCE TAX DIVISION OF DE~I~CTIOf~S- .AND ~4SSESSMENT OF T,AX DEPARTMENT OF REVENUE
PO BOX 260601 REV-1547 EX AFP (12-10)
HARRISBURG PA 17128-0601 ' ' _. „
~; •v; a ~ E r. ~AI-TE 12-12-2011
'E''~TATE OF SIMPSON MARY R
~,~ ~, ,,~ DATE OF DEATH 02-10-2011
Q~{~~'' E~ 7 FILE NUMBER 21 11-0512
JOHN M SIMPSON ' ~; r ~ ~ ~.,1~,'t~~ COUNTY CUMBERLAND
Ct,~,,,~, _, . sou ACN :L O1
200 W MAIN ST APPEAL DATE:
PO BOX 15 02-10-2012
(See reverse side under Objections)
NEWBURG PA 17240
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF~ WILLS
1 COURTHOUStE SQUARE
CARLISLE F'A 17013
CUT-ALONG-THIS-LINE-- _ --~ R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS F--
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REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
---------------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SIMPSON MARY RFILE N0.:21.11-0512 ACN: 101 DATE: 12-12-2011
TAX RETURN WAS: CX) 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)---~ .00 NOTE: To ensure proper
C2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3)~_ 00 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D) of this form with your
C4) ~ DO tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 4_,012.91
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) ~7) - UO
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: ce) 4.012 91
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)-- 9 86
10. Debts/Mortgage Liabilities/Liens (Schedule I)
clo) 149.71
11. Total Deductions
12• Net Value of Tax Return C11) 5,389.57
13. Charitable/Governmental Bequests; Non-elected 9113 Tr
t C12) 1,376.66-
us
s
14. Net Value of Estate Subject to Tax (Schedule J) (13) .00
NOTE: If an assessment was issued previously, lines
14
15 c14) 1,376 66-
reflect figures that include the tot
l ,
and/or 16, 17, 18 and 19 will
a
of ALL
ASSESSMENT OF TAX: returns asses sed to date.
15. Amount of Line 14 at Spousal rate
(15)
16. Amount of Line 14 taxable at Lineal/Class A rate (16) .00 x 00 =
.00
17. Amount of Line 14 at Sibling rate ~~ x 045 = .00
cln
18. Amount of Line 14 taxable at Collateral/Clas
B no x 12 = .00
s
rate C18)
19. Principal Tax Due .00 x 15
=
.00
TAX CREDITS: C19)= .00
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN.I .OD
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL DUE I .00
IF TOTAL DUE IS REFLECTED. AS A "CREDIT" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE Of= THIS FORM FOR INSTRUCTIONS.