HomeMy WebLinkAbout04-13-12r.-.---- _ _ _ _ .,-. _ _
NOTICE OF INHERITANCE TAX
Pennsylvania . ~ .,
BUREAU OF INDIVIDUAL TAXES AA~S~,I~E~T_, ALLOWANCE OR DISALLOWANCE
1 :.°~~ DEPARTMENT OF REVENUE
INHERITANCE rAX DIV1S1oN - ~SIF,;,~r~D~c.Ynr~ps~,l~-ND ASSESSMENT OF TAX
PO BOX 280601 s_r,..- -- REV-1547 EX AFP (12-11)
HARRISBURG PA 17128-0601 `~.`" ~" - ~-,
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~LE;Rh C~;'=
GERALD J SHEKLETSKiv~~~ r %' `~~""
414 BRIDGE ST
PO BOX E
NEW CUMBERLAND PA 17070-0180
DATE 04-09-2012
ESTATE OF YOCUM ELEANOR R
DATE OF DEATH 07-02-2011
FILE NUMBER 21 11-0893
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: YOCUM ELEANOR RFILE N0.:21 11-0893 ACN: lnl nerF. nr._no_~ni-~
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) 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)
(1) .00 NOTE: To ensure proper
C2) .00 credit to your account,
C3) .00 submit the upper portion
of this form with your
C4) .00 tax payment.
(5) 55, 000.00
(6) .00
C7) .00
(8) 55 000.00
C9) .00
(io) .00
11. Total Deductions (11) .00
12. Net Value of Tax Return C12) 55,000.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax (14) 55 000.00
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) 55, 000.00 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 (17) n0
=
.
X 12 .00
18. Amount of Line 14 taxable at Collateral/Class B ra te C18) .00 X 15 - .00
19. Principal Tax Due (19)=
TAX CREDITS: .00
rnTntni RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-) 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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