HomeMy WebLinkAbout04-30-12NOTICE OF INHERITANCE TAX
<<~r~~ }~f'PRA~I~~. T, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL. TAXES, _ j~N
INHERITANCE TAX DIVISION ~ OF ~ ~~fl (.TIONS AND ASSESSMENT OF TAX
PO BOX 280601 i.f~,. - ~
HARRISBURG PA 17128-0601 ~ ~`'~~
~~fi ~ 0 1" ~_: I ~ t~~
CLERi', 0'=
QRPrI,AN'~ ~;'.~~~F"
RITA E BUCHTEGi~.~~,%i~* ~?~ A''j~' ",^, F'Q
131 MILKY WAY
SHIPPENSBURG PA 17257-8241
Pennsylvania i
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-11)
DATE 04-23-2012
ESTATE OF MOORS RITA M
DATE OF DEATH 03-06-2011
FILE NUMBER 21 11-0818
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 06-22-2012
(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 (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: MOORS RITA MFILE N0.:21 ll-ostx ACN: lnl nerF~ n~_~z_~ni~
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .00
NOTE: To ensure F~roper
2. Stocks and Honds (Schedule B) (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) 4,295.16
6. Jointly Dwned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 4,295.16
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q) 8 6.50
10. Debts/Mortgage Liabilities/L.iens (Schedule I) C10) .00
11. Total Deductions C11) 86.50
12. Net Value of Tax Return C12) 4,208.66
13. Charitabl e/Governmental Bequ ests; Non-elected 9113 Tr usts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax (14) 4,208.66
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 date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal. rate (15) .00 X 00 - .OD
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 4.208.66 x 045 = 189.39
17. Amount of Line 14 at Siblings rate C17) _ 00 X 12 = 00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 - .00
19. Principal Tax Due (19)= 189.39
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE
NUMBER
INTEREST/PEN PAID (-) AMOUNT PAID
10-31-2011 CD015138 .00 189.39
TOTAL TAX PAYMENT 189.39
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" ((:R), YOU MAY BE DUE
FOR CALCULATION DF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
r ~:~
~r ;
- _ _ ~.
- _ __