HomeMy WebLinkAbout05-22-12NOTICE OF INHERITANCE TAX
rrr~~rl'A!R~R~I~~E~, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES ~~1~
INHERITANCE TAX Drv1s1oN ~ -~F, DE~-~CeTIONS AND ASSESSMENT OF TAX
PO BOX 260601 ~ t ~ I'
HARRISBURG PA 17128-0601 ~ ~ ~`~
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JILL M WINEKA E~t1M8ERLA{VG GO., PA
1719 N FRONT ST
HARRISBURG PA 17102-2305
Pennsylvania :~ `~,
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-11)
DATE 05-14-2012
ESTATE OF PATTERSON EDGAR
DATE OF DEATH 04-06-2011
FILE NUMBER 21 11-0504
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 FOR YOUR
---------------------------------------- RECORDS F~
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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: PATTERSON EDGAR FILE N0.:21 11-0504 ACN: 101 DATE
: 05-14-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE O
F RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 0 0
2. Stocks and Bonds (Schedule B) . NOTE: To ensure proper
(2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .0 0 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D)
(4)
00 of this form with your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) .
4,8 71.4 2 tax payment.
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) (7) 25,429.60
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: ($) 30,301 02
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (y) g ;79 8
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 18 6.13
11. Total Deductions
12• Net Value of Tax Return (11) 8,505.71
13. Charitable/Governmental Bequests; Non-elected 9113 Tr
t 21,795.31
14. Net Value
f E us
s (Schedule J) (13) .00
o
state Subject to Tax
c14) 21 , 795.31
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16
17
reflect figures that
include the total of ALL ,
,
returns
and 19 will
ASSESSMENT OF TAX: assessed to d t
15. Amount of Line 14 at Spousal rate (15) 00
00 =
16. Amount of Line 14 taxable at Lineal/Class A rate (16) .
X
79~
91 .00
17. Amount of Line 14 at Sibling
rate .
;)
x 045 = 980.79
18. Amount of Line 14 t C17)
nn x 12 -
.00
axable at Collateral/Class B rate (18) .00
15 =
19. Principal Tax Due X .00
TAX CREDITS: (19)° 980.79
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
11-17-2011 CD015217
.00
980.79
TOTAL TAX PAYMENT 980.79
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" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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