HomeMy WebLinkAbout06-12-12NOTICE OF INHERITANCE TAX Pennsylvania ~
APP ~~~~CE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES ~• DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION D ~ • ASSESSMENT OF TAX REV-1547 IX AFP (12-11>
PO BOX 280601 (~ ((C~'`^ t'}~~' ~~4~~C
HARRISBURG PA 17128-0601 L~1f~J:~te L,n• i V
~~~Z JUN ~ ~ ~~ i~' ~ ~ ESTATE OF BROWN-2012 ANN M
DATE OF DEATH 12-04-2010
~~pp~~~~,1~..~f"`. ~,:~ FILE NUMBER 21 11-0004
vnrrlnt~~~ vl~tj~lr COUNTY CUMBERLAND
SAMUEL L ANDES ~~~ ~., I'~ ACN 101
525 N 12TH ST APPEAL DATE: 08-04-2012
LEMOYNE PA 17043-1245 (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: BROWN ANN MFILE N0.:21 11-0004 ACN: tnt DATES n~-n~_~nl~
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAI SED 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) .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) C5) 4,069.14
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) C7) 5, 988.81
e. Total Assets cs) 10 , 057.95
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Cg) ,00 8
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 549.06
11. Total Deductions (11) 5,554.44
12. Net Value of Tax Return (12) 4,5 03.51
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax (14) 4,503.51
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 a nd 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 C16) 4.~+Oi_ril X 045 = 202.66
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 C18) .00 X 15 - .00
19. Principal Tax Due C19)= 202.66
TAX CREDITS:
~..,nc^~ rcn~tari DISCOUNT C+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
12-15-2011 CD015335 .00 202.56
05-29-2012 SBADJUST .00 1.80
TOTAL TAX PAYMENT 202.66
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.