HomeMy WebLinkAbout06-01-12BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17126-0601
BENJAMIN J BUTLER
STE 101
1007 MUMMA RD
LEMOYNE
APPI~~~T,~.NCE TOR CDI ALLOWANCE
0 T$~ON - D ASSESSMENT OF TAX
Pennsylvania ~ ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-11)
~~~-2 ~vji ~ ~ ~~ f2~ ~ ~ DATE 05-28-2012
ESTATE OF DYKSTRA ANN M
~~.~-~'`~ ~"~ DATE OF DEATH 08-14-2010
M~ p~~p~~pp1~~~~~J~~~ ~~rr~~~5~p~ .. FILE NUMBER 21 10-0888
C+tJIrlpGnl.lYYD VU„ ~ '` 'DOUNTY CUMBERLAND
ACN 101
APPEAL DATE: 07-27-2012
(See reverse side under Objections
PA 17043-1183 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE _ ~ R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS ~ _ _________
REV-1547 EX AFP C12-11~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: DYKSTRA ANN MFILE N0.:21 10-0888 ACN: 101 DATE: 05-28-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN N0. OL
1. Real Estate (Schedule A) (1) .00
NOTE: To ensure proper
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
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00
tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 4,2 56.18
6. Jointly Owned Property (Schedule F) ((,) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 4.256.18
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q) .00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions
(11)
.00
12. Net Value of Tax Return (12) 4,256.18
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax (14) 302,838.65
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) 302,838.65 X 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) _00 x 04 5 = .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 (18) .00 X 15 - .00
19. Principal Tax Due (19)= .00
TAX CREDITS:
'nc^' Kt~-tlr~ DISCOUNT C+) --
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT 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" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.