HomeMy WebLinkAbout02-24-12BUREAU OF INDIVIDUAL
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
rr~~-"~;~~. 3I=~''"` CE OF INHERITANCE TAX
~V~'F'~~{~p~p~~T, ALLOWANCE OR DISALLOWANCE
TAXES ~~("~~i'j,.:_",i ,~ ~ CTIONS AND ASSESSMENT OF TAX
212 FC~3 24 f"~ 2~ 2t?
CLERK G`~
ORPHAN'S CCt~RT
DAVID R GETZ ESQ
508 N SECOND ST
PO BOX 845
HARRISBURG PA 17108-0845
c9) 36.496.32
clo) 172.273.33
6 THIS LINE --'1 RETAIN LOWER PORTION_ FOR
CUT ALON YOUR RECORDS ~ _ _______________
_
REV-1547 EX AFP (12-11)
R
R
N ASSES SMENTAOFOTAXCE OR
DEDUCTIONS AND
OF
DISALLOWANCE
ESTATE OF: KUNTZELMAN ELENORE MFILE N0.:21 11-0941 ACN: 101 DATE: 02-20-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
.00
NOTE: To ensure proper
1. Real Estate (Schedule A) ~1) .00 credit to your account,
2. Stocks and Bonds (Schedule B) ~2)
00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C)
C3) .
00 of this form with your
t
4. Mortgages/Notes Receivable (Schedule D)
(4) .
293.00 .
tax paymen
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 2,383.68
6. Jointly Owned Property (Schedule F) (6)
.00
7. Transfers (Schedule G)
c7)
68
676
2
c8) .
,
B. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
NOTE: If an assessment was issued previously,
reflect figures that include the total
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
i~ emeunt of Line 14 at Sibling rate
DATE 02-20-2012
ESTATE OF KUNTZELMAN ELENORE M
DATE OF DEATH 07-08-2011
FILE NUMBER 21 11-0941
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 04-20-2012
(See reverse side under Objections )
Amount Remitted I
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
lines 14, 15
of ALL return
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-)
Pennsylvania ~ ~~~~
DEPARTMENT OF REVENUE
REY-1547 EX AFP (12-11)
cll) 208,769.65
c12) 206,092.97-
c13) .00
c14) 206, 092.97-
and/or 16, 17, 18 and 19 will
s assessed to date.
c15) • 00 X
(16) .O(l X
cln .on x
cls) • 00 X
AMOUNT PAID
00 = .00
045 = .00
12 = .00
15 = .00
c19)= . 00
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 BE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE DF THIS FORM FOR INSTRUCTIONS.