HomeMy WebLinkAbout01-17-12NOTICE OF INHERITANCE TAX pennSy~Van~a ~ ..
BUREAU OF INDIVIDUAL TABS ;" APPR,'1 ~1ENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~ DEPARTMENT OF REVENUE
Po Box 2BO6o1 _ 0~` ~~D~DUCTIONS AND ASSESSMENT OF TAX
HARRISBURG PA 17128-0601 ~~~` REV-1547 EX AFP (12-11)
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EDWARD P SEE ~~PFa ~~~ ~ ~ ~ ~~~
555 GETTYSBURG PIKE
MECHANICSBURG PA 17055-5207
DATE 01-10-2012
ESTATE OF SMALLEN SANDRA B
DATE OF DEATH 03-29-2011
FILE NUMBER 21 11-0872
COUNTY CUMBERLAND
ACN 101
APPEAL 1DATE: 03-10-2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OIF WILLS
1 COURTHOUSE SQUARE
CARLISLE I'A 17013
CUT ALONG THIS LINE ~ --R_ETA_IN-LOWER POR_TION
FOR YOUR
REV-1547 EX AFP (12- RECORDS ~
_
-------
11) NOTICE OF INHERITANCE T ---------
-----
AX APPRAISEM
DISALLOWANCE OF DEDUCTIONS AND ASSES
ESTATE OF: ENT, ALLOWANCE
SMENT OF
______
------------
OR
SMALLEN SANDRA BFILE N0.:21 11-0872 TAX
ACN
TAX RETURN WAS: CX) ACCEPTED AS :
101
DATE: 01-10-2012
FILED (
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN ) CHANGED
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B) ~1) .00 NOTE: To ensure
proper
C2)
3. Closely Held Stock/Partnership Interest (Schedule C) •00 credit to your account,
4. Mortgages/Notes Receivable (Schedule D) (3) .00 submit the upper portion
of thi
(4)
5. Cash/Bank Deposits/Misc. Personal Propert
(S s form with your
tax payment.
y
chedule E) (5)
6. Jointly Owned Property (Schedule F) ].,65 2.03
7. Transfers (Schedule G) C6) .0 0
c7)
8. Total Assets 348, 743.12
APPROVED DEDUCTIONS AND EXEMPTIONS: c8) 350.395 15
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I) (9) 76 OG 6 06
clo)
11. Total Deductions 944.35
12• Net Value of Tax Return C11) 16,990.41
13. Charitable/Governmental Bequests; Non-elected 9113 Tr C12) 333,4 04.74
usts (Schedule
14. Net Value of Estate Subject to Tax J)
C13) 00
.
NOTE: If an assessment was issued previously
lin 14 '
4
,
es. l4, 15
reflect figures that include the total of ALL
ASSESSMENT and/or 16,
17, 18 and
19
wi11
returns
OF TAX: assessed to d ate.
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Cla C15) 333,404.74 X
17. Amount of Line 14 at Sibling ss A rate
rate C16) ~- X
18. Amount of Line 14 taxable at Collateral/Cla
B n0 X
19. Principal Tax Due ss
rate C18) .00 X
TAX CREDITS:
"""" RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PA:[D
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
00 = .00
045 = .00
12 = .00
15 = .00
t19)= . 00
TOTAL TAX PAYMENT
BALANCE OF T'AX DUE •00
.00
INTEREST AND PEN. .00
TOTAL DUE .00
IF TOTAL DUE IS REFLECTED AS ~4 "CREDIT" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF-THIS FORM FOR INSTRUCTIONS.