HomeMy WebLinkAbout06-22-12NO~T~ICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ;'(rt.,~-~~~,,~~IT~,~ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION y,(:!'';,'Qf~!'; D~Y,~T~+DNS AND ASSESSMENT OF TAX
PO BOX 280601 f li-'+.a•V ~ ~~ ! ~, • i S11r_,ilJ
HARRISBURG PA 17128-0601
n ..4 .~ . e ,'t
r ^/ s~ } . `
S. W'i L]l l~ Li: ~~~..:~ ~ i 4J
~, .
Gi~;~r4~"d'L~ C~j~,!~r
J AC K I E K I M M E L CiV~F1'F~i~,.~J+'`d~ C~„ FA
2563 VETERANS WAY
ELLIOTTSBURG PA 17024-9207
C1) .00
cz) .00
c3) .00
c4) .00
c5) 1.00
c6) .00
c7) .00
CUT ALONG THIS LINE ~1 RETAIN LOWER PORTION FOR YOUR RECORDS ~
-------------------------------------------------------------------------------------------
REV-1547 EX AFP (:12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: STOUFFER DON FILE N0.:21 09-1210 ACN: 101 DATE: 06-18-2012
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
Pennsylvania', \~ ~'!
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-1ll
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
c8) 1 . 00
C9)_ 5, 188.42
clo) 4,938.65
11. Total Deductions (11) 10, 127.07
12. Net Value of Tax Return C12) 10, 126.07-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Taz C14) 10,126.07-
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) .00 X 0 0 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) .n0 x 045 = .00
17. Amount of Line 14 at Sibling rate C17) _n 0 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B ra te (18) .00 X 15 - .00
19. Principal Tax Due C193= .00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE
NUMBER
INTEREST/PEN PAID
C-) AMOUNT PAID
TOTAL TAX PAYMENT .00
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.
DATE 06-18-2012
ESTATE OF STOUFFER DON
DATE OF DEATH 12-05-2009
FILE NUMBER 21 09-1210
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 08-17-2012
(See reverse side under Objections )
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013