HomeMy WebLinkAbout12-19-11NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~i~;APP!I~AZSE`M~N~~I~ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX ~rv1s1oN _~~ - OF DEDU~T~~ONS AND ASSESSMENT OF TAX
PO BOX 280601 _ _.,_~
HARRISBURG PA 17128-0601
.. ~ ~ Vii' ~C~
CLERK C~
EVERETT E CHAPPELE.A~" ~ ~ ! ' `~
106 W SPRINGVILLE RD
BOILING SPRINGS PA 17007
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-10)
DATE ]L2-05-2011
ESTATE OF (:HAPPELEAR DONNA J
DATE OF DEATH 07-14-2011
FILE NUMBER :?1 11-0796
COUNTY CUMBERLAND
ACN ll01
APPEAL DATE: 02-03-2012
(See reverse side under Objections)
Asount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF= WILLS
1 COURTHOU'.~E SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE -- RETAIN LOWER PORTION FOR YOUR RECORDS E-
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REY-1547 EX AFP C12-10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: CHAPPELEAR DONNA JFILE N0.:21 11-0796 ACN: 101 DATE: 12-05-2011
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .00
2. Stocks and Bonds (Schedule B) (2) .00
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00
4. Mortgages/Notes Receivable (Schedule D) (4) .00
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 93,368.34
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
NOTE: To ensure proper
credit to your account,
submit the Upper portion
of this form with your
tax payment.
8. Total Assets (B) 93,368.34
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 1.2.74 0.05
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 149,034.79
11. Total Deductions (11) 161,774.84
12. Net Value of Tax Return (12) 68,406.50-
.13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax C14) 68,406.50-
NOTE: If an assess®ent was issued previously,
reflect figures that include the total
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns assessed to date.
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
C15) . 00 X
(16) . 00 X
C17) _ 00 X
(1s) .00 x
00 = .00
045 = .00
12 = .00
15 = .00
(19)= . 00
AMOUNT PAID
P DATE T NUMBER I INTERS T/PENT PAID C-) I
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE D
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE: OF THIS FORM FOR INSTRUCTIONS.