HomeMy WebLinkAbout02-10-12BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-06D1
ROBERT W KING
114 N MAPLE AVE
GREENSBURG
NOTICE OF INHERITANCE TAX
A~~'~~~I~~j~-'~cL~WANCE OR DISALLOWANCE
~9F•^~1ETt~CTT{~ $CAND ASSESSMENT OF TAX
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-11)
z~il; ~~.8 ~ p ~~ i2: I i DATE o2-06-2012
ESTATE OF CHOMYN PETER J
CLARK OF DATE DF DEATH 11-18-2010
~PNQ~,S COl!R~ FILE NUMBER 21 10-1220
C~}~~~.'~-,~` h~,`,~ ~.C PA CDUNTY CUMBERLAND
ACN 101
APPEAL DATE: 04-06-2012
PA 15601 -2506 (See reverse side under Objections)
Amount Remitted --~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE --~ RETAIN LOWER PORTION FOR YOUR RECORDS ~--
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REV-1547 EX AFP C12-11~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: CHOMYN PETER JFILE N0.:21 10-1220 ACN: 101 DATE: 02-06-2012
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL AND SUPPLEMENTAL RETURN N0. O1
1. Real Estate (Schedule A) C1) •00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) .00 credit to your account,
00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) . 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) 33,4 75.65
6. Jointly Owned Property (Schedule F) ((,) .0 0
7. Transfers (Schedule G) (7) 582, 792.25
s. Total Assets ca) 616>267.40
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q) 12.714.27
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 4 63.64
11. Total Deductions (11) 13, 177.91
12. Net Value of Tax Return (12) 603,089.99
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Sch edule J) C13) .00
14. Net Value of Estate Subject to Tax C14J 603,089.99
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17 , 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate (15) 235, 000.00 X 00 - . 00
16. Amount of Line 14 taxable at Lineal/Class A rate Clb) 368.089.99 x 045 = 16,564.05
17. Amount of Line 14 at Sibling rate C17) -CIO X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .00 X 15 - .00
19. Principal Tax Due C19) = 16,564.05
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
08-29-2011 CD014913 .00 12,278.37
10-25-2011 CD015124 34.97- 4,324.83
TOTAL TAX PAYMENT 1b,568.23
BALANCE OF TAX DUE 4.18CR
INTEREST AND PEN. .00
TOTAL DUE 4.18CR
~ 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.