HomeMy WebLinkAbout05-29-12- ennsylvania ~`~
NOTICE OF INHERITANCE TAX ~ DEppRTMENTOF REVENUE
"~ r ALLOWANCE OR DISALLOWANCE AFP az-u)
~~.~,'~-;~ ~ '/~pnp,RAISEMENT. OF TAX REV-1547 oc
BUREAU of INDIVIDUgL T-{txES~ .'~,`AF DEDUCTIONS AND ASSESSMENT
INHERITANCE TAX DIV ISIO .-~..
PD Box zeosol DATE 05-21-2012
HARRISBURG PA 17128-0 6 0 1 ~ `` `,: c.~.. GLORIA ~
'J~i2E`e~~' ~~ ESTATE OF SMITH
DATE OF DEATH 07-19-2011
~~^~^~~, FILE NUMBER 21 11-0936
COUNTY CUMBERLAND
~c ~E ~p `~0 ,f PA l D l
ACN
THOMAS A A PER APPEAL DATE: 07-20-2012
2303 MARKET ST (See reverse side under Objections)
CAMP HILL PA 17011-4627
Amount Remitted
MAKE REGISTER OFB WILLNS REMIT PAYMENT T0:
1 COURTHOUSE'. SQ~oR3
CARLISLE PA
~ RETAIN-LOWER-PORTION-FOR_YOUR-RECORDS- r -------------------
CUT_ALON6-THIS-LINE______________ DATE: 05-21-2012
REV-1547 EX AFP (12-11) NOTICE 0 AINHERF ICE NOT Y1 ppPR0936 MENT, ALLOWANCE 0
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENATCN F TAOX
GLOR
ESTATE OF: SMITH ) ACCEPTED AS FILED ( ) CHANGED
TAX RETURN WAS: ( X
ORIGINAL RETURN
VALUE OF RETURN BASED ON: (17 14~ NOTE: To ensure proper
ppPRAISED credit to your account,
(2)~- submit the upper portion
1, Real Estate (Schedule A) 00 of this form with your
(3)~ tax payment.
2, Stocks and Bontls (Schedule B1 C4)---
3, LloselY Held Stock/Partnership Interest (Schedule L) (5)---_
4. Mortgages/Notes Receivable (Schedule D) 666.53
5. Cash/Bank Deposits/MSS(. Personal Property (Schedule E) (67--~
6. Jointly Owned Property (Schedule F7 (7)-~~
t44 166.53
(E) ~~-
7, Transfers (Schedule G)
e. Total Assets 79 g96 77
APPROVED DEDUCTIONS AND EXEMPTIONS: ~n 572.74
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9 (11)
(lo)w 70,399.51
10. Debts/Mortgage LS abil it ies/Liens (Schedule I) (127 73.767 02
.00
11. Total Deductions (137
a4) 73 767.02
12. Net Value of Tax Return Non-elected 9113 Trusts (Sehetlule J)
13, Charitable/Governmental Bequests; and 19 Will
14. Net Value of Estate Subiect to Tax 13nes 14, 15 and/Or 16. tG ,d et
If an assessment was issued Previous Y.
NOTE: the total of ALL returns assessed ,00
reflect figures that include =
.00 X 00
ASSESSMENT OF TAX: C15) 7~ x 045 ~~
(16)~~
15. Amount of Line 14 at Spousal ra a 00 X 12
16. Amount of LSne 14 taxable at Lineal/Class A rate (17)~~
00 x 15 ~~
17, Amount of line 14 at Sibling rate
lg Amount of Line 14 taxable at Collateral/Class B rate (le)~~~ (19)-
19 Principal Tax Due
TAX CREDITS: RECEIPT DISCOUNT (~) AMOUNT PAID
PAYMENT NUMBER INTEREST/PEN PAID (-) 3,319.52
DATE .00
,~-n5-2011 CD015296
* FORPLALCULATIONA OF ADDITIONAL INTERESTRSE
TOTAL TA NT 3,319,00
BALANCE OF TAX DUE DO
INTEREST AND PEN. ,00
TOTAL DUE
IF TOTAL DUE IS REFLECTED AS A "(RED IT" (CR). VOU MAV BE DC
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.