HomeMy WebLinkAbout04-09-12_ _ _
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r- CE OF INHERITANCE TAX Pennsylvania ~
APPRAI Fl'fi=~ ! pL~~ 6E OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES ,--,-,,, -- ~~ DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF D`~~IANS ;A~D„'ASSESSMENT OF TAX
PO BOX 2806D1 -_,. -~ ~ REV-1547 IX AFP C12-lll
HARRISBURG PA 17128-0601 -
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`i' ,`~ "~~ ~ DATE 04-02-2012
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ESTATE OF GREEN MICHAEL T
^~~ DATE OF DEATH 08-21-2008
~(~~~ '~~ c , _~,r FILE NUMBER 21 08-0901
~i~>~.i;,_,y~',~ ~ fem.-.,~ COUNTY CUMBERLAND
PATRICIA R BROWN ESQ ` ~ +''=a ACN 101
354 ALEXANDER SPRING RD APPEAL DATE: 06-01-2012
C A R L I S L E P A 17 015 - 7 4 51 (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 ~- ____
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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: GREEN MICHAEL TFILE N0.:21 08-0901 ACN: 101 DATE: 04-02-2012
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) ~1) 132,659.81 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) ~2) ,00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 39,530.93
6. Jointly Owned Property (Schedule F) ((,) 2, 702.38
7. Transfers (Schedule G) ~7) 16,985.89
8. Total Assets cs) 191.879.01
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) ~q) 64. 8 7.~+~
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10)_ 173.458.31
11. Total Deductions X11) 237,845.81
12• Net Value of Tax Return (12) 45,966.80-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax C14) 45,966.80-
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 C15) .00 X 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 00 x 045 = .00
17. Amount of Line 14 at Sibling rate (17) -00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 - .00
19. Principal Tax Due (19)= .00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
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 DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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