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HomeMy WebLinkAbout05-04-12TICS OF INHERITANCE TAX ~~ ~`"` r~,cI „;,~ ..., ~P~A;~ pennsylvarna ~ ,- BUREAU OF INDIVIDUAL TA~C~b~~~- ENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION -~' O~'~ID~DUCTIONS AND ASSESSMENT OF TAX PO BOX 280601 ~,.~,a ~ ~ REV-1547 EX AFP C12-11) HARRISBURG PA 17128-0601 i~'~~~~1~-4 ~~11~~~ CLERK G~~= oR~H~v~s ~~URT EILEEN C FIN 79 ST PAUL DRIVE SALZMANN HUGHES P C CHAMBERSBURG PA 17201 DATE 04-30-2012 ESTATE OF BEAUMONT CURTIS L DATE OF DEATH 01-08-2011 FILE NUMBER 21 11-0121 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 F- _ ____ -------------------- ----------------------- ______ REV-1547 EX AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF: BEAUMONT CURTIS LFILE N0.:21 11-0121 ACN: 101 DATE: 04-30-2012 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) cl) 144,500.00 c2) .00 c3) 82, 747.00 c4) .00 c5) 41 , 398.06 c6) .00 cn .00 NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment. cs) 268,645.06 (9)__ 28 , 398.96 clo) 246 840.33 11. Total Deductions (11) 275,239.29 12. Net Value of Tax Return (12) 6,594.23- 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00 14. Net Value of Estate Subject to Tax (14) _ 6,594.23- 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 (15) .00 X 00 - .00 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 00 x 045 = 17 _ .00 . Amount of Line 14 at Sibling rate (17) 00 X 12 = _ .00 18. Amount of Line 14 taxable at Collateral/Class B ra te (18) .00 X 15 - .00 19. Principal Tax Due TAX CREDITS: (19)= .00 rs~rmtni RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID 04-07-2011 CD014273 .00 5,000.00 TOTAL TAX PAYMENT 5,000.00 BALANCE OF TAX DUE 5,000.OOCR INTEREST AND PEN. .00 TOTAL DUE 5,000.OOCR * IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. (~~ - V"