HomeMy WebLinkAbout05-04-12~, Y
NOTICE OF INHERITANCE TAX pennsylvarna ~`~ ~
BUREAU OF INDIVIDUAL TAXES~'~~ ~, t1t~FRa~r~~T, ALLOWANCE OR DISALLOWANCE
~~. DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF' D ~1 CTIONS AND ASSESSMENT OF TAX
PO BOX 280601 '":_,,,;j<<. "~ REV-1547 EX AFP (12-11)
HARRISBURG PA 17128-0601 '"~ ~
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CLERK r"
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HUBERT X GILRC1.Yt~~n~5`~,I;,u"`~_i „(~, Pf.~
10 E HIGH ST
CARLISLE PA 17013-3015
DATE 04-30-2012
ESTATE OF CROCK FRANCES W
DATE OF DEATH 02-08-2011
FILE NUMBER 21 11-0553
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 ~ _ __
-------------------- ----------------------- ________
REV-1547 EX AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: CROCK FRANCES WFILE N0.:21 11-0553 ACN: 101 DATE: n4-~n-~ni~
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) I1) 472,922
25
2.
Stocks and Bonds (Schedule B)
C2) .
8 8,657.02 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)
00 of this form with your
5.
Cash/Bank Deposits/Misc. Personal Property (Schedule E)
(5) .
12,396.50 tax payment.
6. Jointly Owned Property (Schedule F) C6) 2,531.72
7. Transfers (Schedule G) ~7) .0 0
8. Total Assets
APPROV
ED DEDUCTION c8) 576.507.49
S AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) ?6.9 70.48
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10)__ 4,215.34
11. Total Deductions C11) 31,185.82
12• Net Value of Tax Return X12) 545,321.67
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) 545,321.67
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16
17 18 a
d 19
reflect figures that include the total of ALL ,
,
returns assessed to d n
will
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) ri4~,.3?1 ,67 x 045 = 24,539
48
17. Amount of Line 14 at Sibling rate (17) 00 X 12 = .
.00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .00 X 15 = 00
19. Principal Tax Due .
TAX CREDITS: C19)= 24,539.48
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
11-07-2011 (0015175 00
. 24,539.48
TOTAL TAX PAYMENT 24,539.48
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.