HomeMy WebLinkAbout05-22-12~~-„~F,,_ -,_ , NOT,~y~,~C~,_OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~~-`.AF~f~J+TA.I$,E~1~~TlL':`ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION -,~-O~~DEDUCrrONS AND ASSESSMENT OF TAX
PO BOX 280601 ~` ~ ' `' ` `
HARRISBURG PA 17128-0601
BRADLEY L GRIFFLE-~~~~'~~`~``,,",,tij, `"-',t'ri
200 N HANOVER ST
CARLISLE PA 17013-2423
pennsylvania r i
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-1ll
DATE 05-14-2012
ESTATE OF MOOSE NANCY L
DATE OF DEATH 07-29-2011
FILE NUMBER 21 11-0897
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 07-13-2012
(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
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REV-1547 EX AFP (12-11~ NOTICE OF INHERITANCE TAX
DISALLOWANCE OF DEDUCTIONS
ESTATE OF: MOOSE NANCY LFILE N0.:21 FOR YOUR RECORDS F-
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APPRAISEMENT, ALLOWANCE
AND ASSESSMENT OF TAX
11-0897 ACN: 101
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OR
DATE: 05-14-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED 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,
00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) . of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) 00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 826.46
6. Jointly Owned Property (Schedule F) (6) 1,243.40
7. Transfers (Schedule G) (7) .OD
8. Total Assets (8) 2, 069.86
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 1,8 76.04
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 241.36
11. Total Deductions (11) 2> 117.40
12. Net Value of Tax Return (12) 47.54-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax (14) 4 7.54-
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 a nd 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 0 0 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) .00 x 045 = .00
17. Amount of Line 14 at Sibling rate (17) .00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B ra te C18) .00 X 15 - .00
19. Principal Tax Due (19)= .00
TAX CREDITS:
AMOUNT PAID
P DATE T RN UMBER I INTEREST/PEN PAID (-)
TOTAL TAX PAYMENT .00
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 FDR INSTRUCTIONS.
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