HomeMy WebLinkAbout05-11-12NOTICE OF INHERITANCE TAX pennsy~Van~a rM
APPk ~~~~P~'~' ,/`~~v~,~N DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ~ `~ CE OR DISALLOWANCE '.
INHERITANCE TAX DIVISION F+`- I1UCT~-0.1~ I,~fh1~J; ASSESSMENT OF TAX REV-1547 EX AFP (12-11)
PO BOX 280601 `\J~
HARRISBURG PA 17128-0601
~7i2 ~r~~ t = ~§i ~ ~ ~ ~~ y DATE 05-07-2012
i ESTATE OF HENRY NOAH A
r. _^,,, ~~ DATE OF DEATH 04-19-2011
FILE NUMBER 21 11-1251
Lt'Si' tr i ;~ ~~L'`lT COUNTY CUMBERLAND
ROLAND HENRY ~JMBE~~NjC~ CQ., PA i1CN 101
5215 SIMPSON FERRY RD APPEAL DATE: 07-06-2012
MECHANICSBURG PA 17050-3500 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ---- -) RETAIN LOWER PORTION FOR YOUR RECORDS H
REV-1547 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: HENRY NOAH AFILE N0.:21 11-125] ACN: tnt nerF~ n~_n~_~ni~
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
cl) .00
c2) .00
c3) .00
c4) .00
c5) 2,256.00
c6) .00
c7) .00
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
cs) 2,256.00
c9) .00
clo) .00
11. Total Deductions
(11)
.00
12. Net Value of Tax Return X12) 2,256.00
13. Charitable/Governmental Bequ ests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 2,256.00
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 - ,00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 7.? 6.00 x 045 = 101.52
17. Amount of Line 14 at Sibling rate C17) ~0 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B ra te (18) .0 0 X 15 - ,00
19. Principal Tax Due (19)= 101.52
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
INTEREST IS CHARGED THROUGH 05-22-2012
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 101.52
INTEREST AND PEN. 1.03
TOTAL DUE 102.55
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YDU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FDRM FDR INSTRUCTIONS.
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