HomeMy WebLinkAbout01-30-12NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~ ~~ ~rLLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ' ' ~ E~~tI~~S AND ASSESSMENT OF TAX
PO BOX 280601 ;uv~- ~'
HARRISBURG PA 17128-0601
JENNA HEMMINGER
7 WILLIAM PENN DR
CAMP HILL PA
X11{2 JaN 30 P~ 12~ ! 4
CLERK OF
ORPHAN'S CQURT
Ct}MRE~[.A~D CO. PA
17011-6666
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-11)
DATE LI1-30-2012
ESTATE OF WARNER SHERI C
DATE OF DEATH C17-22-2010
FILE NUMBER 'e:l 10-0781
COUNTY CUMBERLAND
ACN 1.01
APPEAL DATE: 03-30-2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF' WILLS
1 COURTHOUSE SQUARE
CARLISLE P'A 17013
CUT ALON_6 THIS LINE _ ~ R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS ~ _
REV-1547 EX AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: WARNER SHERI (FILE N0.:21 10-0781 ACN: 101 _______________
OR
DATE: 01-30-2012
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED 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) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) .0 0
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) .00
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q) .00
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .0 0
I1. Total Deductions (11) .00
12. Net Value of Tax Return (12) .00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) .00
NOTE: If an assessment 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.
(15) . 00 X
C16) .0~ X
(17)_ .0~ X
(l8) . 00 X
00 = .00
045 = .00
12 = .00
15 = .00
(19)= .00
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
r DATE I I NUMBER I INTEREST/PENT PAID (-) I AMOUNT PAID
TOTAL TAX PAYMENT .00
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" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
s.