HomeMy WebLinkAbout02-24-12pt~~k;;~ , ~~~}I.1-~~ -ICE OF INHERITANCE TAX
1~ ~'•' .~.~'~' NT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES ~~ ~4:' ~ _, {OF+t ~ CTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-D601
i~12 ~~~ 24 P~ 2~ 26
CLERK
oRPr~~s co~arT
ClJ~9R~Pi.ti:`~D CC.. PA
J ANTHONY ADAMS
STE 3
49 W ORANGE ST
SHIPPENSBURG PA 17257-1813
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Pennsylvania = .
DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-11)
DATE 0;?-20-2012
ESTATE DF CI_APSADLE GLADYS M
DATE OF DEATH 10-15-2009
FILE NUMBER 2:l 11-0641
COUNTY CIJMBERLAND
ACN 101
APPEAL DATE: 04-20-2012
(See reverse side under Objections)
Amount Remitted~-
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE P,A 17013
CUT ALONG THIS LINE -• RETAIN LOWER PORTION-FOR YOUR RECORDS E-
REV-1547 EX AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: CLAPSADLE GLADYS MFILE N0.:21 11-0641 ACN: 101 DATE: 02-20-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
(1) •00 NOTE: To ensure proper
C2) ,00 credit to your account,
00 submit the upper portion
C3) . of this form with your
(4) • 00 tax payment.
(5) 6 , 259.56
c6) .00
(7) .00
(e) 6,259.56
Cg) 1.611.50
(lo) 68,456.56
C11) 70,068.06
11. Total Deductions 63,808.50-
12. Net Value of Tax Return (12) 00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .
T
t (14) 63,808.50-
o
ax
14. Net Value of Estate Subject
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:
00 =
00
.00
15. Amount of Line 14 at Spousal rate C15) .
X
16. Amount of Line 14 taxable at Lineal/Class A rate (16) .On X 04 5 = .00
17. Amount of Line 14 at Sibling rate C17) .00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .00 X 15 = .00
C19)= .00
14. Principal Tax Due
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
TOTAL TAX PAYMENT .00
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 B E
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.