HomeMy WebLinkAbout03-05-12N~~~QFj-,~~~CE TAX pennsylvania ~
BUREAU OF INDIVIDUAL TAXES APPRAISEN .~;At•. ~~ d X' DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX OIV ISION OF DEDU i ~LNSnAdD ;~il~y~SSMENT OF TAX REV-1547 IX AFP (12-1ll
PO BOX 280601
HARRISBURG PA 17128-0601
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ESTATE OF BLACK RAMOND S
CLERK ~j- DATE OF DEATH 06-18-2011
(+ O~RpPH.~t`I~S ~(7f~R~ILE NUMBER 21 11-0699
4~r:N~1~F~'~~I_i 1~`~ii CO C(~'J1NTV CUMBERLAND
ROGER B IRWLN ESq ACN 101
60 W POMFRET ST APPEAL DATE: 04-28-2012
CARLISLE PA 17013-3243 (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 APPRAISEMENTx ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: BLACK RAMOND SFILE N0.:21 11-0699 ACN: 101 DATE: 02-28-2012
TAX RETURN WAS: (X 7 ACCEPTED AS FILED ( 7 CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R¢al Estate (Schedule A7 (17 95.000.00 NOTE: To ensure proper
2. Stocks and Bontls (Schedule B7 (27 ,00 credit to your account,
DD submit the upper po rt lOn
3. Closely Held Stock/Partnership Interest (Schedule C) (3) . of this form with Your
4. Mortgages/Notes Receivable (Schedule D7 (47 •00 tax payment.
5. Cash/bank Deposits/Misc. Parso nal Property (Schedule E) (57 149.085.82
6. Jointly Ownetl Property (Schedule F) (67 1.313.31
7. Transf¢rs (Schedule G7 (77 55x561.23
8. Total Assets (e) 300.960.36
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (97 25.883.03
10. Debts/Mortgage Liabilities/Liens (Schedule I) (107 2,344.65
11. Total Deductions (ill 28x227.68
12. Net Value of Tax Return (12) 272.732.68
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. NeY Valua of Estate Subject to Tax (14) 272.732.68
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 date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate (157 .00 7( 00 - .08
16. Amount of Line 14 taxable at Lineal/Class A rate (167 271 .419.37 X 045 = 12x213.$7
17. Amount of Line 14 at Sibling rata (177 .DO X 12 = .00
18. Amount of Lina 14 taxable at Collateral/Class B rate (187 1.313.31 X 15 - 197.00
19. Principal Tax Due (19)= 12x418.87
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOU NI' PAID
09-09-2011 CD014945 620.54 1.1.790.33
TOTAL TAX PAYMENT 12,410.87
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
I TOTAL DUE I t1D I
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TDTAL DUE IS REFLECT EII AS A "CREDIT" (CR), YOU MAY B~ DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIIIE OF THIS FORM FOR INSTRUCTIONS.