HomeMy WebLinkAbout06-15-12C ,~~~ 1 ICE OF INHERITANCE TAX
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BUREAU OF INDIVIDUAL TAXES,L~,` ^r ..._ ._ y.~ ~+
INHERITANCE TAX DIVISION ~+ ~~F`~'7)~FjUCTIONS AND ASSESSMENT OF TAX
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DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-11)
DATE 06-11-2012
ESTATE OF CLARK HARRY E
DATE OF DEATH 09-27-2011
FILE NUMBER 21 11-1069
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 08-10-2012
(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 F~
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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: CLARK _ HARRY EFILE N0.:21 11-1069 ACN: 101 DATE: n6-tt-~nt~
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAI SED 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) 203,515.28 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) C5) 114,711.93
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) 9,232.63
8. Total Assets CB) _ 327.459.84
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q) 3 6
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 4.20
11. Total Deductions C11) _ 35, 167.71
12. Net Value of Tax Return (12) _ 292,292.13
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax C14) _ 292,292.13
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) 991.99 . t ~ x 045 = 13, 153.15
C17) - On X 12 = . 00
Cls) .00 X 15 = .00
n9)= 13, 153.15
rNTI-IC IYI rct~tiri DISCOUNT C+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
12-19-2011 CD015368 631.58 12,000.00
01-16-2012 CD015473 .00 521.57
TOTAL TAX PAYMENT 13,153.15
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), YDU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FDRM FOR INSTRUCTIONS.