HomeMy WebLinkAbout04-30-12~°;rr~ ~ ~ ,~;_ NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL~"`I~'A~~~'' '° ~MP.P~ISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION
~- '''.~~ DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 r~'-~' '_ ~ '
HARRISBURG PA 17128-0601
CLr'~K ~'~
E~i~~iie~rH~I ~P~C~ CC? , F,a.
RAY BUTT
1105 BERKSHIRE BLVD
WYOMISSING PA 19510-1222
Pennsylvania i~
DEPARTMENT OF REVENUE
REV-1547 IX AFP C12-lll
DATE 04-23-2012
ESTATE OF HILER DOROTHY M
DATE OF DEATH 09-14-2011
FILE NUMBER 21 11-1176
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 E-
REV-1547 EX AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: HILER. DOROTHY MFILE N0.:21 11-1176 ACN: 101 DATE: 04-23-2012
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .00
NOTE: To ensure proper
2. Stocks and Bonds [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) C5) .0 0
6. Jointly Owned Property [Schedule F) C6) 84,058.00
7. Transfers (Schedule G) C7) 12, 245.00
8. Total Assets c8) 96,303.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Casts/'Misc. Expenses [Schedule H) Cq) S,1 .00
10. Debts/Mortgage Liabilities/L.iens (Schedule I) (10) 1,295.00
11. Total Deductions C11) 6,448.00
12. Net Value of Tax Return C12) 89,855.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax (14) 89,855.00
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 (15) .00 X 00 - .OQ
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 89.888.00 x 045 = 4,043.48
17. Amount of Line 14 at Sibling rate (17) .00 X 12 .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .00 X 15 - .0 0
19. Principal Tax Due C19?= 4,043.48
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE
NUMBER
INTEREST/PEN PAID C-) AMOUNT PAID
-31-2011 CD015154 202.17 3,841.31
TOTAL TAX PAYMENT 4,043.48
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" CC:R), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FCIR INSTRUCTIONS.. ,,, /)