HomeMy WebLinkAbout03-05-12BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX OIV ISION
PO BOX 260601
HARRISBURG PA 17126-0601
y~-~NOTICE OF INHERITANCE TAX
APF~~rt%~'rt.7`Gr ~{ANCE OR DISALLOWANCE
0~ ;B DU~CT~ON D ASSESSMENT OF TAX
~E~l~~:~.': ~~!, to
2~l2 ~~R -5 P~ 12~ t,
CLERK OF
//~~~~ 1O1IRAPHAI1!'S G'JlJRT
GEORGE F DOUGLAS III E5aY,R~RI ~n~~i~ ~('~ (~
354 ALEXANDER SPRING RD
CARLISLE PA 17015-7451
pennsylvania ~
'DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-11)
DATE 02-28-2012
ESTATE OF I10CKENBERRY LARRY V
DATE OF DEATH 111-02-2011
FILE NUMBER 21 11-0978
COUNTY CUMBERLAND
ACN LO1
APPEAL HATE: 04-28-2012
(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-15 47 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMEN T:. ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: HOCKENBERRY LARRY VFILE N0.:21 L1-0978 ACN: 101 DATE: 02-28-2012
TAX RETURN WAS: (X 7 ACCEPTED AS FILED ( ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) •00 NOTE: To ensure pro par
2. Skocks and Bonds (Schedule B) (2) ,QO credit to your account,
3. Closely Held Stack/Partnership Interest (Schedule C] (3) 00 submit the upper portion
of this farm with your
4. Mortgages/Notes Receivable (Schedule D) C47 •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 6,385.00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (SChetlule G7 (77 112,46$.60
e. Total Assets (s) 118.853.60
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (SChetlule H) (g) .O1 .00
10. Debts/Mortgage Liabilities/Liens (Schedule U (1 OJ 10.642.24
11. Total Deductions (11) 15,657.24
12. Net Value of Tax Return (127 103,196.36
13. Charitable/Governmental BeQUests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 103 196.36
NOTE: If an assessment was issued previously, lines 14, I5 and/or 16, 17 , 18 and 19 will
reflect figures that include the total of ALL return s assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collakeral/Class B rate
19. Principal Tax Due
TAX CREDITS:
(1s) 103.1.96.36 X
(16) nD X
C17) DO X
C18)
x
00 - .00
045 = .00
12 = .00
15 = .00
(197= nn
PgYMEN7
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-) AMOUNT PAT PA I~
TOTAL TAX PAYMENT .00
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" (CR), VDU MAV BE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE S:[DE OF THIS FORM FOR INSTRUCTIONS .