HomeMy WebLinkAbout05-11-12..l,_, N~ ~DLICE OF INHERITANCE TAX Pennsylvania ~
BUREAU OF INDIVIDUAL TAXE~~'=i +'•'pQPR~~SEI~'NT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ..,~`t ,.. ," ;' OF ',1gED~CTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (12-11)
PD BOX 280601 +,_~
HARRISBURG PA 17128-0601
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ROGER B IRWIN 8~~~.-f~i~l~ C~•' P~
60 W POMFRET ST
CARLISLE PA 17013-3243
DATE 05-07-2012
ESTATE OF EBERLY DOROTHY L
DATE OF DEATH 08-06-2011
FILE NUMBER 21 11-0948
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 07-06-2012
(See reverse side under Objections)
Amount Remitted C
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-'
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REV-1547 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: EBERLY DOROTHY LFILE N0.:21 11-0948 ACN: Inl nerF~ 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) .0 0 NOTE: To ensure Froper
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
4.
Mortgages/Notes Receivable (Schedule D)
(4)
00 of this form witt your
. tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 21,85 3.39
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (s) 21.853.39
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q) 5.907.04
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 124.27
11. Total Deductions C11) 6,031.31
12. Net Value of Tax Return (121 15,822.08
13. Charitable/Governmental Bequests; Non-elected 9113 Tr usts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 15,822.08
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 date.
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) 1 ~, . A ? . n8 x 045 = 711.99
17. Amount of Line 14 at Sibling rate (17) -On X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class 6 rate (18) .00 X 15 - .00
19. Principal Tax Due (19)= 711.99
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
11-04-2011 CD015170 35.60 676.39
TOTAL TAX PAYMENT 711.99
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 FOR INSTRUCTIONS. i:~
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