HomeMy WebLinkAbout05-04-12NOTICE OF INHERITANCE TAX 3- ~'
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~ `''' MENT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL T ~ ~~ DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~r ;; ~ - ,Q~~~ SEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 ~ ~,._;,~„ ' REV-1547 IX AFP C12-11)
HARRISBURG PA 17128-0601
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CLERK G~
ORPHr~~!'~t;OiJRr
P DANIEL ALC7~L~p~~~l~~~op, ? . PA
350 S SPORTING HILL RD
MECHANICSBURG PA 17050-3061
DATE 04-30-2012
ESTATE OF MARTIN DOROTHY E
DATE OF DEATH 01-13-2011
FILE NUMBER 21 11-1030
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~
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REV-1547 EX AFP (12-11~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE _ _
--------------
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: MARTIN DOROTHY EFILE N0.:21 11-1030 ACN: 101 DAT
E: 04-30-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RET
URN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
(1)
2. Stocks and Bonds (Schedule B) .00
NOTE: To ensure proper
(2)
3. Closely Held Stock/Partnershi
I
t .00 credit to your account,
p
n
erest (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)
4 6 2.35 tax payment.
6. Jointly Owned Property (Schedule F) (6) 3,813.18
7. Transfers (Schedule G)
(7) .00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS• (B) 4.275 53
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q)_ 3.78 77
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 1,94 0.10
11. Total Deductions
12. Net Value of Tax Return (11) 5,723.87
13. Charitable/Governmental Bequests; Non-elected 9113 Tr
t ~ 1,448.37-
us
s
14. Net Value of Estate Subject to Taz (Schedule J) (13 .00
NOTE: If a (14) 1,448 37-
n assessment was issued previously, lines 14, 15 and/or 16
17
reflect figures that include the total of ALL ,
,
and 19 will
ASSESSMENT OF TAX: returns asses sed to d to
15. Amount of Line 14 at Spousal rate (15) .00 -
00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) n X .00
17. Amount of Line 14 at Sibling rate ~ X 045 = .00
(ln nn x 12 =
18. Amount of Line 14 taxable at Collateral/Class B rate C18)
00
-
15 .00
19. Principal Tax Due . -
X .00
TAX CREDITS: (19)= .00
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) 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
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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