HomeMy WebLinkAbout05-04-12NOTICE OF INHERITANCE TAX P y ~ ,r. `~
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BUREAU OF INDIVIDUAL TAX~~.`{~~~ ~~-,~"R~T~ NT, ALLOWANCE OR DISALLOWANCE ~ ^
DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION LL-r ~ OF~;p UCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 f~ra~_ ,!, ~ i REV-1547 EX AFP (12-1ll
HARRISBURG PA 17128-0601 ~ - ~ ~
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CLERK pF
~~yyO~~R~PHp,N'S ~uC,~Rr
DOUGLAS WILLi~l1~F''rFF` a~'~.t'_; ,~',~, R{~
43 W SOUTH ST
CARLISLE PA 17013-3432
DATE 04-30-2012
ESTATE OF HINSON GERALINE G
DATE OF DEATH 04-13-2010
FILE NUMBER 21 10-0461
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 06-29-2012
(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 E~ _ __
----------------------- ----------------------- ______
REV-1547 EX AFP C12-11~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: HINSON GERALINE GFILE N0.:21 10-0461 ACN: 101 DATE: n4_zn_~ni~
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) 135,000
00
2.
Stocks and Bonds (Schedule B)
(2) .
175,27 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)
7,500
00 of this form with your
. tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 31,4 87.03
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) C7) .00
8. Total Assets
APPROV
ED DEDU c8) _ 174.162.30
CTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Cg) 38.608.74
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10)_ 32,531.76
11. Total Deductions C11) 71,139.90
12. Net Value of Tax Return C12) 103, 022.40
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax (14) 103, 022.40
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 d ate
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) 10.[1?9.40 x 045 = 4,636.00
17. Amount of Line 14 at Sibling rate C17) 00 X 12 =
.OD
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 = .0 0
19. Principal Tax Due
TAX CREDITS C14)= 4,636.00
:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
11-07-2011 CD015182 00
. 4,636.00
BALANCE OF UNPAID INTEREST/PENALTY AS OF 11-08-2011 TOTAL TAX PAYMENT 4,636.00
BALANCE OF TAX DUE .00
INTEREST AND PEN. 113.29
TOTAL DUE 113.29
* 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.