HomeMy WebLinkAbout04-13-12NOTICE OF INHERITANCE TAX Pennsylvania ~~,~ '':~
BUREAU OF INDIVIDUAL TAX~~`"'' -IlPPR'~1,I~ E~#~NT, ALLOWANCE OR DISALLOWANCE
x~+^ DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION `~, OF~'-T~E ACTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (12-1ll
PO BOX 280601 _.~~% _i ~ ~
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109 LOCUST ST
HARRISBURG PA 17101-1409
DATE 04-09-2012
ESTATE OF HERMAN MJARIE E
DATE OF DEATH 05-29-2011
FILE NUMBER 21 11-0659
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 06-08-2012
(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 •~
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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: HERMAN MJARIE EFILE N0.:21 11-0659 ACN: 101 DATE: 04-09-7017
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .00 NOTE: To e
2.
Stocks and Bonds (Schedule B)
C2)
,00 nsure 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) 8,021.4 7
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 8.021.47
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q) 3,281.77
10. Debts/Mortgage Liabilities/Liens [Schedule I) (10) .00
11. Total Deductions (11) 3,281.77
12. Net Value of Tax Return C12) 4,739.70
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 4,739.70
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 (16) _00 x 04 5 = .00
17. Amount of Line 14 at Sibling rate C17) .00 X 12 = .0 0
18. Amount of Line 14 taxable at Collateral/Class B ra te C18) 4,739.70 X 15 - 710.96
19. Principal Tax Due (19)= 710.96
TAX CREDITS:
rATmtni RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
10-20-2011 CD015102 .00 710.96
TOTAL TAX PAYMENT 710.96
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.