HomeMy WebLinkAbout04-30-12r ~~~_,.,_.. NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~~~`( ~APP~A.LI~, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~- ~- , - bE ~DE'D~tlOTIONS AND ASSESSMENT OF TAX
PO BOX 280601 ~ ~- ~ ~ ~ ~ '~-~'~
HARRISBURG PA 17126-0601
CLERK "~ _
JEFFREY M MOTTERN `'
28 E MAIN ST
HUMMELSTOWN PA 17036-1615
Pennsylvania
DEPARTMENT OF REVENUE
REV-1547 IX AFP (12-1ll
DATE 04-23-2012
ESTATE OF MILLER EUGENE H
DATE OF DEATH 01-24-2011
FILE NUMBER 21 11-0195
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 06-22-2012
(See reverse side under Ohjections
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 APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: MILLER EUGENE HFILE N0.:21 11-0195 ACN: 101 DATE: 04-23-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .0 0
NOTE: To ensure proper
2. Stocks and Bonds (Schedule S) (2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) 00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 372,245.53
6. Jointly Owned Property (Schedule F) (6) 146, 081 .23
7. Transfers (Schedule G) (7) 10,966.26
8. Total Assets (8) 529,293.02
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q) 13.09 .4
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 9.80
11. Total Deductions (11) 13, 102.22
12. Net Value of Tax Return C12) 516, 190.80
13. Charitabl e/Governmental Bequ ests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 516,190.80
NOTE: If an assessment was issued previously, li nes 14, 15 and/or 16, 17, 18 and 19 will
reflec t figures that include the total of ALL returns assessed to d ate.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal. rate (15) .00 X 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 389.609-r,7 X 045 = 17,532.43
17. Amount of Line 14 at Sibling rate (17) 1 ?6 . X81 - 73 X 12 = 15, 189.75
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 - .00
19. Principal Tax Due (19)= 32,722.18
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE
NUMBER
INTEREST/PEN PAID (-) AMOUNT PAID
04-20-2011 (0014344 1,605.26 30,500.00
10-20-2011 (0015093 .00 616.92
TOTAL TAX PAYMENT 32,722.18
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), YOU MAY BE DUE
FOR CALCULATION OF' ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FDR INSTRUCTIONS. ~