HomeMy WebLinkAbout06-12-12BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
JULIE M KEMPER
46 ARGALI LN
MECHANICSBURG
t~~.1~1P1 ~ ~ ~~~,~4LLOWANCE OR DISALLOWANCE
FiE~I~~~:!~'~u~'~.~.oNS AND ASSESSMENT OF TAX
Pennsylvania ~
DEPARTMENT OF REVENUE
REY-1547 EX AFP (12-11)
L~lit d:i~'~ ~ 2 aM ~~ ~ ji; DATE 06-05-2012
ESTATE OF KEMPER FAYE J
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f DATE OF DEATH 07-19-2011
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~~~~~ ~~~~r FILE NUMBER 21 11-1268
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PA COUNTY CUMBERLAND
~ ACN 101
APPEAL DATE: 08-04-2012
P A 17 0 5 5- 4 8 6 3 ( 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 ~
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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: KEMPER FAYE JFILE N0.:21 11-1268 ACN: 101 DATE: n~-nF:-~n)~
TAX RETURN WAS: CX) 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,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .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) 125.00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .0 0
8. Total Assets (8) 125.00
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q)_ .00
L0. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .00
11. Total Deductions (11) .00
12. Net Value of Tax Return (12) 125.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax C14) 125.00
NOTE: If an assessment was issued previously,
reflec t figures that include the total
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns assessed to date.
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-)
112-30-2011 I CD015408 nn
5.
TOTAL TAX PAYMENT 5.63
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
(15) .00 X 00 = .00
(16) ~ ~~ • nn x 045 = 5.63
(ln . nn x 12 = . 00
(la) .00 X 15 = .00
(19)= 5.63
AMOUNT PAID
~ 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.