HomeMy WebLinkAbout03-05-12NOTICE OF INHERITANCE TAX
ppp~ ~, T~,}~~A~[LLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES 3~~~~T~~FA~ ASSESSMENT OF TAX
INHERITANCE TAX DIYISIDN t~~ ~~,,.~ ~ aft
PO BOX 280601 t [~ ,,: , r ~; } (~
HARRISBURG PA 17128-0601 ~~-A-•'~
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CLERK Or
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ROBERT L DLUGE JR ESQ ~i~~~~~^~~ ~~~}^~ C~~ ~A
133 MT CARMEL AVE
PO BOX 304
ELYSBURG PA 17824-0304
Pennsylvania ~ ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-11)
DATE 02-28-2012
ESTATE OF CAMPBELL PATRICIA K
DATE OF DEATH 10-17-2010
FILE NUMBER 21 10-1218
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 04-28-2012
(See reverse side under Objections )
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE: SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE --~ RETAIN LOWER PORTION_ FOR YOUR RECORDS f--' _ _______________
REV-1547 EX AFP (12-11~
DR
R
N ASSES SMENTAOFOTAXCE OR
DEDUCTIONS AN
OF
DISALLOWANCE
ESTATE OF: CAMPBELL PATRICIA KFILE N0.:21 10-1218 ACN: 101 DATE: 02-28-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
121,000.00
NOTE: To ensure proper
1. Real Estate (Schedule A) ~1) .00 credit to your account,
2. Stocks and Bonds (Schedule B) C2)
00 submit the upper portion
Closely Held Stock/Partnership Interest (Schedule C)
3 C3)
.
of this form with your
.
4. Mortgages/Notes Receivable (Schedule D) c4) .00
4,710.05 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 911.01
6. Jointly Owned Property (Schedule F) C6)
.00
7. Transfers (Schedule G)
c7)
06
621
126
~$) .
,
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
6,223.35
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9)
clo) 89,702.26
10 Debts/Mortgage Liabilities/Liens (Schedule I)
95,925.61
tll)
11. Total Deductions
C12) 30,695.45
12. Net Value of Tax Return
J)
l
d
(13) .00
itable/Governmental Bequests; Non-elected 9113 Trusts
Ch
13 e
u
(Sche
ar
.
C14) 30,69 5.45
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 (15)
695
45
3n
x 045 =
1,381.30
16. Amount of Line 14 taxable at Lineal/Class A rate (16)
.
._
=
00
cln . nn x 12 .
17. Amount of Line 14 at Sibling rate
00
.00 x 15 = .
18. Amount of Line 14 taxable at Collateral/Class B rate (18) (19)= 1,381.30
19. Principal Tax Due
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
09-08-2011 CD014947 .00 1,38 1.30
BALANCE OF UNPAID INTEREST/PENALTY AS OF 09-09-2011 TOTAL TAX PAYMENT 1,381.30
BALANCE OF TAX DUE .00
INTEREST AND PEN. 6.00
TOTAL DUE 6.00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY DUE
FDR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.