HomeMy WebLinkAbout01-30-12BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
A • - ~ + .~~I{~~IIANCE OR DISALLOWANCE
~(~~;,,~~~-. ~T~4~li~~Q1ND ASSESSMENT OF TAX
2D~2 JAN 3n PM 12:
JAMES D BOGAR
1 W MAIN ST
CAMP HILL
CLERK ~F
QRPHAN'S CQURr
Gt1MRF~! ,nnl~ C0 . PA,
DEPARTMENT OF REVENUE •
REV-1547 EX AFP (12-11)
DATE 01-24-2012
ESTATE OF SPERAW
DATE OF DEATH 02-03_ RUTH L
FILE NUMBER 21 2011
COUNTY 11-0232
ACN CUMBERLAND
APPEAL DATE:
(See reverse side under Objections)
Amount RemittE,d
MAKE CHECK PAYABLE AND REMIT PAYMENT T0;
REGISTER OF WILLS
1 COURTHOUSE SQUA
PA 17011-6327
CARLISLE pA RE
CUT ALONG THIS LINE 17013
REV-1547 EX AFP (12_11 N~ CEROFAINHERITANCERTI~N-FOR
DISALLOWANCE OF DEDUCTIONS AND YOUR RECORDS ~
ESTATE OF; AX APPRAISEMENT, ALLOWANCE OR
SPERAW ASSESSMENT OF TAX
RUTH LFILE NO.;
TAX RETURN WAS; ( 21 11-0232 ACN: 101 DATE:
APPRAISED VALUE OF RffTURN BASED X) ACCEPTED AS FILED 01-24-2012
1 • Real Estate ON: ORIGINAL ( ) CHANGED
(Schedule A) RETURN
2• Stocks and Bonds (Schedule B)
3. Closel 158
y Held Stock/Partnershi (2) - ~0~ ~ NOTE: To ensure
4. Mort p Interest (Schedule proper
gages/Notes Receivable C) ~~ credit to your account,
5. Cash/Bank Deposits/Misc. (Schedule D) (3)-~~= submit the upper
Personal Pro of this portion
6• Jointly Awned Pro Perty (Schedule E) form with your
Perty (Schedule F) 4) ~ ~ tax payment.
7. Transfers (Schedule G) (5)~~,50~2(
(6)__~, 64~~
8• Total Assets
APPROVED DEDUCTIONS C7)--~~
AND EXEMPTIONS:
9• Funeral Expenses/Adm. (8) 265
Costs/Misc. Expenses (Schedule H) 159, 07
10. Debts/Mortgage Liabilities/Liens (Schedule I)
( 9 ) _~ 1 n_ q~~
11. Total Deductions (10) -~ 00
12. Net Value of ~~
13. Charitable/Governmental ge
ul) 38,109.05
14. Net Value of Estate Subject to Tax (12)
Non-elected 9113 Trusts (Schedule J) 227, 050.02
NOTE: If en (la) .00
assessment was issued previously,
reflect figures that (14) 227 050.02
ASSESSMENT include lines 14, 15 and/or 16, 17,
OF TAX: the total of ALL returns 18 and
15. Amount of Line 14 assessed 19 will
16. Amount of Line at Spousal rate tO date.
14 taxable at Lineal/Class (15)
17• Amount of Line 14 A rate '00 X 00
at Sibling rate (16) X77 Orn n~ .00
18. Amount of Line 14 taxable C17) X 04 5 = 10,217,25
19. Principal. Tax Due at Collateral/Class B X 12
TAX CREDITS: rate (lB) .00
.- . 00 15
DATE
05-p-
08-19-2011
NUMBER
CD014863
INTEREST/pEN PAID (-)
508.05
.00
~ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
_ x -
(19)= • 00
10,217.25
~_
AMOUNT PAID
~o~r..Y5
56.25
TOTAL TAX AP YMENT
BALANCE OF 10'217.25
TAX DUE
INTEREST AND PEN, •00
TOTAL DUE •00
IF TOTAL DUE IS • 00
A REFUND. REFLECTED qS A ~•CREDIT^ (CR),
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS,DU~