HomeMy WebLinkAbout06-22-12Y _. .-.-
NOTICE OF INHERITANCE TAX Pennsylvania ~~, ~~~`~~~
AP 7 N~,, ANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES ~~'1~~ ~~,[~ DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION i D D ASSESSMENT OF TAX
PO BOX 280601 GG,-~ ter,-, r ~~ ~ C REV-1547 EX AFP (12-11)
HARRISBURG PA 17128-0601 n~:'a+ti? ". ~; I <_ ~ !,) ~~J
r~1~~2 J~~ ~~ Q~ ~~' G~ ESTATE OF MAURICEOSR JAY L
DATE OF DEATH 10-04-2010
' FILE NUMBER 21 11-1014
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ADAM R DELUCA ~RPKf~f~1~~ ~J`~h' COUNTY CUMBERLAND
CUtu1BERLAND CO., PA ACN 101
61 W LOUTHER ST APPEAL DATE: 08-17-2012
CARL I SL E PA 17 013 - 2987 (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 0F: MAURICE SR JAY LFILE N0.:21 11-1014 ACN: 101 DATE: 06-18-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 65,500.00
NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) .0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) .00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (B) 65,500.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (g) .00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions (11) .00
12. Net Value of Tax Return (12) 65,500.00
13. Charitable/Governmental Bequ ests; Nonelected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 65,500.00
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) 65,500.00 X 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) _0 0 x 045 = .00
17. Amount of Line 14 at Sibling rate (17) .00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 - .00
19. Principal Tax Due (19)= .00
TAX CREDITS:
~...~~~~~ rceccari DISCOUNT (+) I AMOUNT PAID
DATE NUMBER INTEREST/PEN 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" (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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