HomeMy WebLinkAbout05-29-12~F, ',~ ~'~rf.,. f.l~n,
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BUREAU OF INDIVIDUAL TAXES A~P~R'A ISEM.EN',f~~.~F}L LOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX REV-154] IX AFP clz-111
PO BO% 280601 7 a
HARRISBURG PA 17128-0601 ,~.; L ~ ~~~ ` ~ ;
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CUMBERLAND GO., PA
RICHARD C SNELBAKER
44 W MAIN ST
MECHANICSBURG PA 17055-6249
DATE 05-21-2012
ESTATE OF HOUSE ROSELLA J
DATE OF DEATH 03-05-2011
FILE NUMBER 21 11-0339
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 07-20-2012
(See reverse side under Objections)
Amount Reaitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
GUT ALON_6 THIS LINE _ ~ __RETAIN-LOWER-PORTION FOR YOUR REC O_RDS f'~ _______________
REV-1547 EX AFP C12-117 NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: HOUSE ROSELLA JFILE N0.:21 11-0339 ACN: 101 DATE: 05-21-2012
TAX RETURN WAS: (J() ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 128,062.73
2. Stocks and Bontls (Schedule B) (2) .00
3. Closely Held Stock/Partnership Interest (Schedule C) C37 .00
4. Mortgages/Notes Receivable (Schedule ID (4) .00
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (57 23,849.35
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) 22,521.14
NOTE: io ensure proper
cretl3t tp your account.
submit the upper porkion
of this form with your
tax payment.
(e) 174.433.22
8. Total Assets
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expanses (Schedule H) (9) 42.205.69
30. Debts/Mortgage Liabilities/LSens (S<hetlule I) (10) 47.370.55
(117 89.576.24
11. Total Deductions 84,85(.98
12. Net Value of Tax Return (12) 00
13. Charitable/Governmental Bequests; Non-ele<tetl 9113 Trusts (Schedule J) (137 .
T (14) 84.856.98
14. ax
Net Value of Estate SuD3ect to
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 .
ASSESS MENT OF TAX:
15. Amount of Line 14 at Spousal rate (157 .00 X 00 .00
16. Amount of LSne 14 taxable at Lineal/Class A rate (16) RG.FR6.9R X 045 3,806.41
17. Amount of Line 14 at Sibling rate C17) 7Rn.nn X 12 21.60
18. Amount of Line 14 taxable at Collateral/Class B ra te (187 '30.00 X 15 = 13.50
(197= 3x841.51
19. Principal Tax Due
rev ro rnrrc.
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+7
INTEREST/PEN PAID (-) AMOUNT PAID
12-05-2011 (0015283 .00 3,841.51
:u,w~ ,nn rn.n~m
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
51
00
00
00
z IF PAID AFTER GATE INDICATED. SEE REVERSE IF TOTAL DUE IS REFLE CTEU AS A "CREDIT" CCRJr YOU MAY BE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.