HomeMy WebLinkAbout02-10-12BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
DEBORA COWDEN
514 LUTHER RD
HARRISBURG
NOTICE OF INHERITANCE TAX
$~,hF~ ~ ~OWANCE OR DISALLOWANCE
~•; ,~ Q`~DjU~T~~~, AND ASSESSMENT OF TAX
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DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-11)
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I DD U ~)#~,~: ~ ) DATE 02-06-2012
ESTATE OF WALTERS HAZEL
DATE OF DEATH 03-22-2011
GLERK GF FILE NUMBER 21 11-0473
ORPHAN'S COURT COUNTY CUMBERLAND
Cl1MP,rai I+N C~ CC PA ACN 101
APPEAL DATE: 04-06-2012
P A 17111- 2 0 54 (See reverse side under Objections
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
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: WALTERS HAZEL FILE N0.:21 11-0473 ACN: 101 DATE: 02-06-2012
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) 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) (4) •0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 7 5:544.39
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 75.544.39
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q) 5.231.4 9
L0. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 5,933.61
11. Total Deductions (11) 11, 165.10
12. Net Value of Tax Return (12) 64,379.29
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 64,379.29
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 DF TAX:
15. Amount of Line 14 at Spousal rate (15) .00 X 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 64.379.79 x 045 = 2,897.07
17. Amount of Line 14 at Sibling rate (17) _00 X 12 = ,00
18. Amount of Line 14 taxable at Collateral/Class B ra te (18) .00 X 15 - .00
19. Principal Tax Due (19)= 2,897.07
TAX CREDITS:
AMOUNT PAID
P DATE T I NUMBER I INTEREST/PEN PAID C-)
09-21-2011 CD014987 .00 2,897.07
TOTAL TAX PAYMENT 2,897.07
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL IIUE 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.
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