HomeMy WebLinkAbout05-11-12NOZI ~ OF INHERITANCE TAX Pennsylvania
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BUREAU OF INDIVIDUAL TAXES ~ ~ DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~~_'~ OF '~DEDu~~}ONS AND ASSESSMENT OF TAX REV-1547 EX AFP (12-11)
PO BOX 280601 __. _ ,, ,. ,_ , . ~ _ i.'
HARRISBURG PA 17128-0601
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HUBERT X GILROY '~iC~~~`~~ ~•~ PA
10 E HIGH ST
CARLISLE PA 17013-3015
DATE 05-07-2012
ESTATE OF EICHHORN MARY E
DATE OF DEATH 08-20-2011
FILE NUMBER 21 11-0934
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 07-06-2012
(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 ~
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REV-1547 EX AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: EICHHORN MARY EFILE N0.:21 11-0934 ACN: )nI neTF~ n~_n~_~ni~
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .00 NOTE: To ensure [+roper
2. Stocks and Bonds (Schedule B) (2) 5 3,67 3.28 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
of this form witt your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 323,8 72.2 3
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 377 , 545.51
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q) 26.46 8
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 2,80 2.71
11. Total Deductions (11) 29,264.89
12. Net Value of Tax Return (12) 348,280.62
13. Charitable/Governmental Bequ ests; Non-elected 9113 Tr usts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 348,280.62
NOTE: If an assessment was issued previously, li nes 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to d ate.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate C15) .00 X 00 - 00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 34R.2R0.6 x 045 = 15,672.63
17. Amount of Line 14 at Sibling rate (17) _n0 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 - .0 0
19. Principal Tax Due (19)= 15,672.63
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
11-18-2011 CD015225 783.63 14,889.00
TOTAL TAX PAYMENT 15,672.63
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 r
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. r~!"l
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