HomeMy WebLinkAbout02-24-12o H ITANCE TAX enns lvania . ',f
~~~~, ; ~~-~ P Y
APPRA ~ Alit E OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF D~€ry~:fiI~M($r d~it ~'14SSESSMENT OF TAX REV-1547 EX AFP <12-11)
INHERITANCE TAX DIVISION ~ +s'....~!
PO BDX 280601
HARRISBURG PA 17128-0601
c~~!2 ~`~~ 2~ ~`33 ~; ~pTE 02-20-2012
ESTATE OF THOMAS CATHERINE A
C~~R~.~` DATE OF DEATH 12-03-2010
O~P~H~~~s v~i~~r FILE NUMBER 21 11-0826
Cl1MPEpi.e~;'~s~~; ~r)., PA COUNTY CUMBERLAND
DEBRA K WALLET ACN 101
24 N 32ND ST APPEAL DATE: 04-20-2012
(See reverse side under Objections)
CAMP HILL PA 17011-2900
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALON_6 THIS LINE --~ RETAIN LOWER PORTION_ FOR YOUR RECORDS F- _ _______________
REV-1547 EX AFP (12-11)DISALLOWANCENOFRDEDUCTIONS ANDRASSESSMENTAOFOTAXCE OR
ESTATE OF: THOMAS CATHERINE AFILE N0.:21 11-0826 ACN: 101 DATE: 02-20-2012
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
C1) 132,000.00 NOTE: To ensure proper
1. Real Estate (Schedule A) .00 credit to your account,
2. Stocks and Bonds (Schedule B) I2) submit the upper portion
.00 of this form with your
3. Closely Held Stock/Partnership Interest (Schedule C) C3)
C4) .00 tax payment.
4. Mortgages/Notes Receivable (Schedule D) 2, 047.00
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) ,00
6. Jointly Owned Property (Schedule F) C6)
~7) 21 , 847.11
7. Transfers (Schedule G)
~$) 155,894.11
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) ~9) 10.84 7.88
1 792.04
10 Debts/Mortgage Liabilities/Liens (Schedule I) C1D) ~
12,639.92
cIl)
11. Total Deductions
C12) 143,254.19
12. Net Value of Tax Return
ble/Governmental Bequests; Non-elected 9113 Trusts
it
3
(Schedule J) C13) .00
a
. Char
1
C14) 14 3,2 54.19
14. Net Value of Estate Subject to Tax
If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
NOTE:
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX: .00 x 00 = .00
15. Amount of Line 14 at Spousal rate C15)
19 X 045
954
143
6,44b.44
Amount of Line 14 taxable at Lineal/Class A rate
16 C16) .
.
.
17. Amount of Line 14 at Sibling rate
c17)
. oo x 12 =
. 00
00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .00 x 15 =
C19)= .
6,44b.44
19. Principal Tax Due
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
09-02-2011 CD014937 .00 3,000.00
INTEREST IS CHARGED THROUGH 03-06-2012 TOTAL TAX PAYMENT 3,000.00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 3,446.44
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 52.28
TOTAL DUE 3,498.72
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE D
OR INSTRUCTIONS
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM .
F