HomeMy WebLinkAbout01-30-12BUREAU OF INDIVIDUAL TAXES NOTICE OF INHE ANCE TAX
INHERITANCE TAX DIVISION APPRAIS ~~ ' peens ~-
Po Box zao6ol OF DE~~1~.Tfi~~f~ OR DISALLOWANCE ylvania
HARRISBURG PA 17128-0601 ; ~ ~ •
i „U;~; M~~~~~i~SESSMENT OF TAX DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-11)
~~'2 JAN 30 PM (2D~l~
01-30-2012
ESTATE OF LONG
C~~ ~~ DATE OF DEATH 07-05-2011 FLORENCE E
PHILLIP E LONG ~~~N~S COU~fILE NUMBER 21 11-0798
719 HUNT MEADOW DR C«~~~Ri A,~1(~'i ~~ ~~NTY CUMBERLAND
DAUPHIN PA 17018-9486 `+~n APPEAL DATE:
(S'ee reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUgRE
CUT ALONG THIS_LINE CARLISLE IPA 17013
REV-1547 EX - --- 'y RETAIN-LOWER POR_TION___F_OR_ YOUR
AFP C12-11~ NOTICE OF INHERITANCE TAX ~- _ __
DISALLOWANCE OF -___RECORDS F
ESTATE OF: DEDUCTIONS ANDRAISEMENT, ALLOWANCE OR -
LONG FLORENCE ASSESSMENT OF TAX
EFILE N0.:21 11-0798
TAX RETURN WAS: ( ACN: 101 DATE:
APPRAISED VALUE X) ACCEPTED AS FILED 01-30-2012
OF RETURN EASED 0 ORIGINAL ( ) CHAIJGED
1 • Real Estate (Schedule A) N ~ RETURN
2. Stocks and Bonds (Schedule B)
3• Closet (1)
y Held Stock/Partnershi (2)~=G NOTE: To ensure
4• Mort p Interest (Schedule C) ~GU credit proper
gages/Notes Receivable to Your account,
5. Cash/Bank Deposits/Misc. Schedule D) (3)--- submit the upper
Personal Propert (4) of this Portion
6• Jointl y (Schedule E) (5) form with your
Y Owned Propert -~~~~ tax payment.
7- Transfers (Schedule G) (Schedule F) -~~,55=
B. Total Assets (6)--~~~ ~
APPROVED DEDUCTIONS AND C7) ~~
9- Funeral EXEMPTIONS:
Expenses/Adm. Costs/Misc. ($) 62 551.15
10. Debts/Mortgage Liabilities/Liens (Schedule I)chedule H)
C 9 ) ~~s~'-r-+-1LJZ
11. Total Deductions (10)-~ 00
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; (11)
14- Net Value of Estate Non-elected 9113 Trusts 4,2 97.06
Subject to Tax (Schedule J) (12) 58, 254 • 09
NOTE: If an (13) .00
assessment Was issued previously, (14)
reflect figures that include the lines l4, 15 58 254.09
ASSESSMENT OF TAX: total of and/or 16, 17, 18
15. Amount of Line 14 at S A~ returns assessed and 19 will
16. Amount of Line 14 taxable sat Lineal/Class A rate to date.
(15) . 0 0
1~• Amount of Line 14 at Siblin X 00 =
g rate C16)- ~R 9~C n ~ . 00
18. Amount of Line 14 (17) ~~ x 045 = 2, 621 .43
19. Principal Tax Due taxable at Collateral/Class B X 12 =
TAX CREDITS: rate (18) .00
.OG x 15 = .00
PAYMENT (19)=
DATE RECEIPT 2, 621.43
NUMBER DISCOUNT (+)
09-01-2011 INTEREST/PEN PAID (-)
CD014921 AMDUNT2P 490.3
131.07
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TA YX AP MENT
BALANCE OF 2,621.43
TAX DUE
INTEREST AND PEN, •00
TOTAL DUE •00
IF TOTAL DUE IS REFLECTED •00
A REFUND. SEE REVERSE SIDEAOFATHISEFORM FOR)INSTRUCTIONS,DUE