HomeMy WebLinkAbout06-12-12NOTICE OF INHERITANCE TAX Pennsylvania ~
APP~IT`y~~,~~ANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION DI~i~fTQN~kf ~D ASSESSMENT OF TAX REV-1547 EX AFP C12-11)
PO BOX 280601 4 L1t i'i Y>.~.~J
HARRISBURG PA 17128-0601
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ESTATE OF URICH LENORE K
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506 N 2ND ST APPEAL DATE: 08-04-2012
WORMLEYSBURG PA 17043-1001 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
CUT ALONG THIS LINE -~1 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: URICH LENORE KFILE N0 .:21 11-0762 ACN: 101 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) C1) •00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .0 0 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) C4) 00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 6,904.41
6. Jointly Owned Property (Schedule F) (6) 30,000.00
7. Transfers (Schedule G) C7) .00
8. Total Assets c8) 36,904.41
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm.- Costs/Misc. Expenses (Schedule H) (q) 354.]6
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 1>754.75
11. Total Deductions (11) 2,108.91
12. Net Value of Tax Return (12) 34,795.50
13. Charitable/Governmental Bequ ests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax C14) 34,795.50
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) .00 X 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 34.79r,.~0 x 045 = 1,565.80
17. Amount of Line 14 at Sibling rate C17) .00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 - .00
19. Principal Tax Due C19)= 1,565.80
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
12-09-2011 CD015313 .00 1,565.80
TOTAL TAX PAYMENT 1,565.80
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. ~/"