HomeMy WebLinkAbout04-02-12BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
TERESA L SHANER
23 EDGEWOOD DR
MECHANICSBURG
,r (;~~~~bTzr;'E`-~gi~tl f~HERITANCf TAX Pennsylvania ~~ ,y
APPR 3i~ME~i!hT, AL,Lp~IANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
0~~`DEilU'CttONS''Ak'D ASSESSMENT OF TAX
REV-1547 EX AFP (12-11)
~~E', ~~~ -2 ~ 1~= 5u
DATE 03-26-2012
CLERK Cj ESTATE OF NAVRATIL NADA M
DATE OF DEATH 01-14-2011
QRPN}~1~~ J vV~ ART FILE NUMBER 21 11 - 0359
Cl)It'1~'F~`P,,(~,;,; ~~'P{' ~Q COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 05-25-2012
PA 17055 - 2710 (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 C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: NAVRATIL NADA MFILE N0.:21 11-0359 ACN: 101 DATE: n;-~~_~ni~
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) I1) 133,000
00
2.
Stocks and Bonds (Schedule B)
C2) .
,QO NOTE: To ensure proper
credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
4.
Mortgages/Notes Receivable (Schedule D)
(4)
00 of this form with your
. tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 20, 187.64
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) ~7) .00
8. Total Assets
APPROV
ED (8) 153.187.64
DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Iq) 16,8 90.8
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) _ 2,06 0.52
11. Total Deductions C11) 18,951.37
12. Net Value of Tax Return (12) 134,236.27
13. Charitable/Governmental Bequests; Non-elected 9113 Tr usts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) _ 134,236.27
NOTE: If an assessment was issued previously, li nes 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to d ate
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)_ 734.9. 6.77 x 045 = 6,040.63
17. Amount of Line 14 at Sibling rate (17) 00
=
-
X 12 .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 = .00
19. Principal Tax Due
TAX CREDITS: (19)= 6,040.63
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
04-11-2011 CD014274 299.25 5
685
75
10-14-2011 CD015060 .00 ,
.
52
85
03-19-2012 SBADJUST 00 .
. 2.82
TOTAL TAX PAYMENT 6,040.63
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TDTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FDRM FOR INSTRUCTIONS.`
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