HomeMy WebLinkAbout04-02-12~~ nth _. ., ~r
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BUREAU OF INDIVIDUAL TAXES APW~'/kLSE,~IEF~~',~-~11~OWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX DEPARTMENT OF REVENUE
PO BOX 280601 REV-1547 EX AFP (12-1ll
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HARRISBURG PA 1 7128-060 1 ~'~'-~ „'7 Gs
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DATE 03-26-2012
C~E.^~f{ ~~~ ESTATE OF MOYER HARRY L
~R~~'-~~i'~S ~~~~j' DATE OF DEATH 01-29-2011
~~~~~~rF~~._~.,~lJ(i~~ pA FILE NUMBER 21 11-0152
COUNTY CUMBERLAND
JAN M WILEY ACN 101
3 N BALTIMORE ST APPEAL DATE: 05-25-2012
D I L L S B U R G P A 17 019 - 12 8 7 ( 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 E~ _ __
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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: MOYER HARRY LFILE N0.:21 11-0152 ACN: 101 DATE: 03-2b-2012
TAX RETURN WAS: CX) 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)
C1) .00 NOTE: To ensure proper
C2) .00 credit to your account,
(3) .00 submit the upper portion
of this form with your
C4) .00 tax payment.
C5) 7,949.59
c6) 14,337.71
c7) .00
cs) 22.287.30
C9) 14.889.
Clo) 261.59
11. Total Deductions C11) 15, 150.81
12. Net Value of Tax Return (12) 7, 136.49
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax C14) 7, 136.49
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: .
15. Amount of Line 14 at Spousal rate (15) .00 X 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 7.1 6.49 x 04 5 = 321.14
17. Amount of Line 14 at Sibling rate (17) n0 X 12 =
_ .00
18. Amount of Line 14 taxable at Collateral/Class B ra te (18) .00 X 15 - .00
19. Principal Tax Due
TAX CREDITS: C19)= 321.14
rArmtni RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
10-13-2011 CD015066 .00 321.14
+ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX PAYMENT 321.14
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.