HomeMy WebLinkAbout06-15-12rr~~ NQ I OF INHERITANCE TAX
BUREAU of INDIVIDUAL TAXES ~'i-~Y.~~~-~~~ 1 ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION h~G~~~i~~ ;f~Ia[AQ ~. ONS AND ASSESSMENT OF TAX
PO BOX 280601 " 4f '
HARRISBURG PA 17128-0601
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MARYANNE NGUYEN ~~~ '~•' PA
250 STONEHEDGE LN
MECHANICSBURG PA 17055-7008
Pennsylvania ' ~ -
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-11)
DATE 06-11-2012
ESTATE OF NGUYEN BANG V
DATE OF DEATH 04-30-2010
FILE NUMBER 21 10-0645
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 ~
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REV-1547 EX AFP C12-113 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: NGUYEN BANG VFILE N0.:21 10-0645 ACN: 101 DATE: 06-11-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 91,100.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) . of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 8 79.00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .0 0
8. Total Assets (8) _ 91.979.00
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 15.157.78
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 4 8,4 9 5.26
11. Total Deductions (11) 63,653.04
12. Net Value of Tax Return (12) _ 28,325.96
13. Charitable/Governmental Bequests; Non-elected 9113 Tr usts (Schedule J) C13) _ .00
14. Net Value of Estate Subject to Tax (14) 28,325.96
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 C15) 879.00 X 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 77 .446 _ 96 x 045 = 1 , 235.11
17. Amount of Line 14 at Sibling rate (17) _0 0 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .0 0 X 15 - .00
19. Principal Tax Due (19)= 1,235.11
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
05-25-2011 CD014512 .00 1,235.11
BALANCE OF UNPAID INTEREST/PENALTY AS OF 05-26-2011 TOTAL TAX PAYMENT 1,235.11
BALANCE OF TAX DUE .00
INTEREST AND PEN. 11.65
TOTAL DUE 11.65
* 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.