HomeMy WebLinkAbout05-04-12~[~~~,~-~.. ( ,i~Q;[,IC OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES [~-, A_~~-~A~I~SE(FI~~ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION C' ~'
~'_' ~ ~ DF DEDlJ~TQONS AND ASSESSMENT OF TAX
PO BOX 280601 - ~ ~ »..:.~~
HARRISBURG PA 17128-D601
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pennsylvan~a .
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-11)
tei2~"~i~ ~~ ~~`~ ~~; ~.3 DATE 04-30-2012
ESTATE OF HOLLINGSWORTH ANTONETTE
C~E~K wpr DATE OF DEATH 02-02-2011
Q~P~'S ~O(sRr FILE NUMBER 21 11-0166
C~~~~~`~~_,4~'~'[;i ~ ,'~ {~A COUNTY CUMBERLAND
FRANCIS A ZULLI ACN 101
109 LOCUST ST APPEAL DATE: 06-29-2012
HARRISBURG P A 17101 -14 0 9 (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~ _ _
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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: HOLLINGSWORTH ANTONETTE FILE N0.:21 11-0166 eCN~ ini nwTC. ,,. ~.. ., .,, ..
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 62,000
00
2.
Stocks and Bonds (Schedule B)
(2) .
7,736.32 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)
C4)
00 of this form with your
5.
Cash/Bank Deposits/Misc. Personal Property (Schedule E)
(5) .
107,355.06 tax payment.
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets
APPROV
ED DEDUCTIONS AND EXEMPTIONS: (8) _ 177,091.38
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q)_ 1 ,;74 ;R
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10)_ 10 069.95
11. Total Deductions (11) 22,444.33
12. Net Value of Tax Return C12) 154,647.05
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 154 647.05
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
ASSESSMENT O returns assessed to date.
F TAX:
15. Amount of
16. Amount of
17. Amount of
18. Amount of
19. Principal
TAX CREDITS: Line 14 at Spousal
Line 14 taxable at
Line 14 at Sibling
Line 14 taxable at
Tax Due rate
Lineal/Class A rate
rate
Collateral/Class B rate (15)
(16)
(17)
C18) .00 X
1 X4.647. 0~ x
.00 X
.00 X 00 =
045 =
12 =
15 =
(19)= .00
6, 959.12
.00
.00
6,959.12
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
04-26-2011 CD014368 347.96 8,500.00
TOTAL TAX PAYMENT 8,847.96
BALANCE OF TAX DUE 1,888.84CR
INTEREST AND PEN. .00
TOTAL DUE 1,888.84CR
* 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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