HomeMy WebLinkAbout01-30-12NOTICE OF INHERITANCE TAX Pennsylvania ~
BUREAU OF INDIVIDUAL TAXES APPRAI~IC~4M(N OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DE G~+Ia $-,.A C. SESSMENT fIF TAX REV-1547 EX AFP (12-11)
PO BOX 280601 ~t,1•,.; ; ,,,_., i i:.+ . ~ ,-~.~ J
HARRISBURG PA 17128-0601 bb
~~~~.~~~ 30 T~ ~2~ ~~ATE OF GAULO-2012 DORIS H
~~ppCu~L~~E~,R~K CF DATE OF DEATH ].2-03-2010
Q+lrr~`7,~ v~RT FILE NUMBER 21 10-1209
COUNTY fUMBERLAND
ROBERT A QUIGLEY CUMRFR!..AJV~ Gn, PAACN ].O1
1553 BRIDGE ST APPEAL DATE: 03-30-2012
NEW CUMBERLAND PA 17070-1120 (See reverse side under Objections)
Amount Remitted~-
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF~ WILLS
1 COURTHOUSE SgUARE
CARLISLE F'A 17013
CUT ALONG THIS LINE _ -~ R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS ~ _ _______________
REV-1547 EX AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: GAUL DORis HFILE No.:9I In- »n9 er_N. ins neTC. n,_zn_on,o
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .00
NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) 258,64 7.39 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 1 2,88 6.13
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 271.533.52
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 13.374.06
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 4,288.02
11. Total Deductions C11) 17,602.08
12. Net Value of Tax Return C12) 253, 931 .44
13. Charitabl e/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) 1,756.55
14. Net Value of Estate Subject to Tax (14) 252, 174.89
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflec t figures that include the total of ALL returns assessed to d ate.
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) 9~i9. 1 74.89 X 045 = 11 , 347.87
17. Amount of Line 14 at Sibling rate C17) _00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B ra te (18) .00 X 15 - .00
19. Principal Tax Due (19)= 11,347.87
TAX CREDITS:
r,arnnni rct~tari ll1S000NT [+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
03-01-2011 CD014078 473.68 9,000.00
08-31-2011 CD014916 .00 1,780.48
INTEREST IS CHARGED THROUGH 02-14-2012
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT 11,254.1b
BALANCE OF TAX DUE 93.71
INTEREST AND PEN. 1.26
TOTAL DUE 94.97
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED .AS A "CREDIT" CCR), YOU MAY B DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTI