HomeMy WebLinkAbout02-10-12BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTIC~.,~l{ HERITANCE TAX
APPy~}~h,~~~pl~.,;~'~~~ ANCE OR DISALLOWANCE
OF}~~~~G~:f'~N~~I ~D ASSESSMENT OF TAX
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Pennsylvania
DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-11)
~~~~ ~~B ~ tJ ~i`'~ ~~~ ~ ~ DATE 02-06-2012
ESTATE OF PECKER JAMES R
~E~K Q~ DATE DF DEATH 03-24-2011
~~~~_~ ~O~~T FILE NUMBER 21 11-0437
ROBERT G RADEBACH Cf~~~r~t h,~.j~ {~{~ QA COUNTY CUMBERLAND
ACN 101
912 N RIVER RD APPEAL DATE: 04-06-2012
HALIFAX PA 17032 - 9543 (See reverse side under Objections)
Amount Remitted -~
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE --~ RETAIN LOWER PORTION FOR YOUR RECORDS t- --------------
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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: PECKER JAMES RFILE N0.:21 11-0437 ACN: 101 DATE: 02-06-2012
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) 105,577.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) .00 credit to your account,
.DO submit the upper portion
3. Closely Held Stock/Partnership Interest tSchedule 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) 25,94 9.99
6. Jointly Owned Property (Schedule F) Cb) 43, 957.72
7. Transfers (Schedule G) C7) 43,448.28
s. Total assets Ce) 218 , 932.99
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Cq) 5.936.28
10. DebtslMortgage Liabilities/Liens [Schedule I) (10) 806.71
11. Total Deductions C11) 6,742.99
12. Net Value of Tax Return C12) 212, 190.00
13. Charitable/Governmental Bequests; Non-elected 4113 Trusts [Schedule J) (13) .00
14. Net Value of Estate Subject to Tax C14) 212, 190.00
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 C15) .00 X 00 .00
lb. Amount of Line 14 taxable at Lineal/Class A rate Clb) 190.117 .74 x 045 = 8,559.50
17. Amount of Line 14 at Sibling rate C17) 71 .97R.Rb x 12 = 2,637.46
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .00 X 15 - .00
19. Principal Tax Due (19)= 11,196.96
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
08-29-2011 CD014900 .00 11,196.96
TOTAL TAX PAYMENT 11,196.96
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. 0~