HomeMy WebLinkAbout06-12-12N ~. ¢~ ~ ITANCE TAX Pennsylvania ~
APPRAISENYi+t,.~,L~ R DISALLOWANCE DEPARTMENT OF REVENUE ~
BUREAU OF INDIVIDUAL TAXES -~
INHERITANCE TAX DIVISION OF DEDI !°G~lti)~- ESSMENT OF TAX REV-1547 EX AFP (12-11)
PO BOX 280601 ,,~,L,~
HARRISBURG PA 17128-0601
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ES ATE OF POLILLO ROSEMARIE A
f ~•~.~i.>°~ ,,.~: DATE OF DEATH 12 - 18 - 2010
C~~~~S ~11~}~rFILE NUMBER 21 11-0022
SUZANN M MARGEL rn.~OUNTY CUMBERLAND
~tJ CN 101
939 EMILY DR APPEAL DATE: 08-04-2012
MECHANICSBURG PA 17055-5779 (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: POLILLO ROSEMARIE AFILE N0.:21 11-0022 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) (1) .00
NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) 11,750.00 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) 8 4,54 7.96
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets c8) 96 , 297.96
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q) 8.18 4.94
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 977.37
11. Total Deductions C11) 9, 162.31
12. Net Value of Tax Return C12) 87, 135.65
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 87, 135.65
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
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 C+)
DATE NUMBER INTEREST/PEN PAID (-)
01-04-2012 CD015419 34.72-
05-29-2012 SBADJUST .00
C15) .00 X
C16) R 7 . 1 S _ 6F; X
C17) .00 X
c19) . DO X
AMOUNT PAID
00 = .00
045 = 3,921.10
12 = .00
15 = .00
c19)= 3,921.10
3,955.82
.O1
TOTAL TAX PAYMENT 3,921.10
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.