HomeMy WebLinkAbout12-19-11,r,~~. ~ _ - ,~~• NOTICE OF INHERITANCE TAX Pennsylvania „° ~ ;=
BUREAU OF INDIVIDUAL TAX~s A'P'PA'~ISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ' ~ ' ~~ DEDUCTIONS AND ASSESSMENT OF 'SAX DEPARTMENT OF REVENUE
PO BOX 260601 REV-1547 IX AFP (12-10)
HARRISBURG PA 17126-0601
,~ t
i / $ {_ , iJ
MICHAEL ZE`L~GL~R` ~'
4 OAKWOOD PLACE
CARLISLE PA 17015
DATE 12-12-2011
ESTATE OF ZEIGLER KRISTA
DATE OF DEATH 04-19-2011
FILE NUMBER 21 11-0517
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 COURTHOU'.>E SQUARE
CARLISLE F'A 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS E--
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REV-1547
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EX AFP C12-10) NOTICE OF INHERITANCE TAX AP
DISALLOWANCE _
PRAISEMENT, ALLOWANCE _
--------------
OR
OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: ZEIGLER
KRISTA FILE N0.:21 11-0517 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) C1) •0~ NOTE: To ensure
Proper
3. Closely Held Stock/Partner
hi C2) +,25 2.4 9 credit to your account,
s
p Interest (Schedule C)
4. Mortgages/Notes Receiv
bl C3) .00 submit the upper portion
f
a
e (Schedule D) o
this form with your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) ,739
66 tax payment.
6. Jointly Owned Property (Schedule F) .
7. Transfers (Schedule G) C6) 17Fi, 000.00
c7) 809,927.94
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: ~$) 1,009.920 09
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I) C9)- ?~- 8 9 7R
~-
clo) .00
11. Total Deductions
12. Net Value of Tax Return C11) 3,48 9.78
13. Charitable/Governmental Bequests; Non-elected 9113 Tr
t C12) 1,00 6,4 30.31
us
s
14. Net Value of Estate Subject to Tax (Schedule J)
C13) .00
NOTE: If an assessment was issued previously
li C14) 1,006,430 31
,
nes
reflect figures that include the tot
l 14, 15 and/or 16, 17,
and 19 will
a
of ALL
ASSESSMENT OF TAX: returns assessed to d to
15. Amount of Line 14 at Spousal rate
16
A
1,006,430
31
00
.
mount of Line 14 taxable at Lineal/Class A rate C16~ .
x
= .00
17. Amount of Line 14 at Sibling rate ~~ X 045 = .00
cln
18. Amount of Line 14 taxable at Collateral/Class B rate (18) nn x 12 =
00 .00
19. Principal Tax Due X 15 =
^ . 00
TAX CREDITS: c19)= .00
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C-)
AMOUNT PAID
TOTAL TAX PAYMENT
.00
BALANCE OF 'TAX DUE .00
INTEREST AND PEN. .00
^ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL DUE ~ .00
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF' THIS FORM FOR INSTRUCTIONS. ~N