HomeMy WebLinkAbout01-03-12NOTICE OF INHERITANCE TAX pQ11nS~/~V8t11d~'. ~
BUREAU OF INDIVIDUAL TAXES j~~ ,gP.P.RAIS~MENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION "' OF DEb,I~C~T~~ONS AND ASSESSMENT OF TAX REV-1547 EX AFP C12-11)
PO BOX 280601 ~ i~
HARRISBURG PA 17128-0601 ...,j
DATE 12-26-2011
'~~~ ~~ 3 .~ ,:'~; ESTATE OF KLAR ANTONIE T
DATE OF DEATH 11-09-2010
(,[ ~~~\ ~ FILE NUMBER 21 10 - 1162
Or ~~`,~ ~~!'~ 'i ,ACT COUNTY CUMBERLAND
J RONALDO LEGAS(PITi~~;;~ ,, ;,.~,, , ;,, ~ ~~ ACN 101
320 MARKET ST '" APPEAL DATE: 02-24-2012
PO BOX 1268 (See reverse side under Objections}
HARRISBURG PA 17108-1268 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~1 RETAIN LOWER PORTION FOR YOUR RECORDS ~
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REV-1547 EX AFP t12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: KLAR ANTONIE TFILE N0.:21 10-1162 ACN: 101 DATE: 12-26-2011
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) •00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) 246.70 credit to your account,
.00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 2 3,14 3.01
6. Jointly Owned Property (Schedule F) C6) 2 5.44
7. Transfers (Schedule G) (7) .00
8. Total Assets CB) 23,415.15
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 1.702.50
10. Debts/Mortgage LiabilitieslLiens (Schedule I) C10) 10 5.4 3
11. Total Deductions tll) 1,807.93
12. Net Value of Tax Return (12) 21 , 607 .22
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax (14) 21 , 607.22
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate C15) .00 X 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) _00 X 045 = .00
17. Amount of Line 14 at Sibling rate C17) _00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) 21,607.22 X 15 = 3,241.0$
19. Principal Tax Due (19)= 3,241.0$
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
02-10-2011 CD014004 .00 3,300.00
12-19-2011 REFUND .00 58.92-
TOTAL TAX PAYMENT 3,241.08
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.