HomeMy WebLinkAbout06-12-12~~G~~~i~ OF INHERITANCE TAX
BUREAU OF INDIVIDUAL rnxES CLaB~P1C ~' ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION fiCl`~iV ~c:.i i ~,~~~ONS AND ASSESSMENT OF TAX
PO BOX 280601
HARRISBURG PA 17128-0601
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655 SAINT JOHNS DR
CAMP HILL PA 17011-1338
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DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-11)
DATE 06-05-2012
ESTATE OF LICHTENBERGER PAULINE F
DATE OF DEATH 10-18-2011
FILE NUMBER 21 11-1317
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 08-04-2012
(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 !~
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REV-1547 EX AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: LICHTENBERGER PAULINE FFILE N0.:21 11-1317 ACN: 101
-----------------
OR
DATE: 06-05-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) 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) (3) .00 submit the upper portion
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) 12,8 06.43
6. Jointly Owned Property (Schedule F) ((>) .00
7. Transfers (Schedule G) (7) 381 , 079.25
8. Total Assets (8) 393.885.68
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q) 3.774.49
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 4.362.63
11. Total Deductions (11) 8, 137.12
12. Net Value of Tax Return (12) 385,748.56
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax (14) 385,748.56
NOTE: If an assessment was issued previously,
reflect 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
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns assessed to date.
(15) .00 X 00 - .00
(16) 385.748-~6 x 045 = 17,358.69
(ln .on x 12 = .00
(18) .00 X 15 = .00
(19)= 17,358.69
'~~~~~ rce~tiri UiSCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
12-30-2011 CD015402 867.93 16.490.76
TOTAL TAX PAYMENT 17,358.69
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 FOR INSTRUCTIONS. „ n