HomeMy WebLinkAbout05-29-12BUREAU OF INDIV IIIUAL
INHERITANCE TA% OIV I:iiON
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HARRISBURG PA 17128-0601
Pennsylvania `•`
NOTICE OF INHERITANCE TAX DgpARTMENTOFREVENUE
OR DISALLOWANCE REV-1547 E% AFP (1z-111
APPI?AISEMENT, ALLOWANCE
Tq~g" E~~I) '~k~~~pUCTIONS AND ASSESSMENT DF TAX
0
uE' ' i . !~.! ~ DS-zl-2Dlz G
MARY
'6=i MAY 29 (=t 3. 2
MICHAE'.L J
72 PRESIDENTS
MECHANICSBURG
PA 17050-7968
DATE ONEILL
ESTATE OF
DATE OF DEATH 09-27-2011
FILE NUMBER 21 11-1118
COUNTY CUMBERLAND
ACN 101.
APPEAL DATE: 07-20-2012
~ See reverse side under 06jeetions )
ppount RelBitted~
MAKE REGISTER YOFB WILALNS REMIT PAYMENT TO:
1 COURTHOU P~ SO~OR3
CARLISLE
~ RETAIN-LOWER-PORTION-FOR-YOUR-RECORDS- F __----------"--
REV-1547 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE
CUT-ALONG-THIS-LINE-_ _ - PATE: 05-21-2012
DISALLOWANCE OF D LDE CN IONZ AND ASS$ SSMENT OF TAX -
ACN: 101
ESTATE OF:
~~
TAX RETURN WAS: (X) ACCEPTED AS FILED
of TIIRN
VALUE OF R TURN BASED ON: "~"""~~
APPRAISED
1. Real Estate (Schedule A)
p, Stocks and Bands (Schedule B)
3, Close lY Held Sto ¢CeiVables (Schedule D) (Schedule C)
4, Mortgages/Notes (Schedule E)
5, Cash/Bank Deposi sQM lYC (SChedulelFPrope rty
(, JgintlY Owned Pr P
7, Transfers (Sehe ule G)
( ) CHANGED
10
C1)
(z) ~
(3) ~
(4) 29
(5) ~
(6)
NOTE: To ensure Proper
credit to your eacPO'~SOn
submit the upP
of this form with your
tax payment.
(7)~- 409 831.76
(8)
g, Total Assets
AND EXEMPTIONS:
W)
(9) ; q64 .5d
APPROV
ED DEDUCTION
Costs/Misc. Expenses (Schedule
dm
(lg)~ 655,41
,-
91
619
9, Funeral EXPense •
/A
Liabilities/LSens (Schedule (11) 4,
405, .
211.85
10. Debts/Mortgage (12) ,00
11. Total DeducSio s
Trusts
n
(SChetlule C13)
J)
405
211.85
12 . Net Value of T x Retur
Non-electetl 9113
Bequests; (14)
13 . Charitable/Gav rnmental
to Tax 17.
16 1B and 19 M111
14
. Net value of E tare Subiect
lines
eviously. 14, 15 .
and/or
ssed to
date.
- nt was issued Pr
ALL return asse
s
NOTE: If an ass(
reflect f'~
ASSESSMENT OF TAX
15, Amount of Lin
16. Amount of Lir
17. Amount of Li:
lg, Amount of LL
19. Principal Ta
TAX CREDITS:
DA'(E
i c..7
sme
that include the total o
~
-
00 .00
lures ~- X 1
(15) ~
11 R5 X 045
14 at Spousal rate
s A rate (16) X
;9y~ _
O~X 12
-~
14 Taxable at Lineal/Clas (17) _
--
14 at Sibling
rate
(1 B) 15
]~ X (19)=
1
at Collateral/Class B rate
14 taxable
Due
AMOUNT PAID
ELEIPT
NUMBER INTEREST/PEN aG4 23
TOTAL TAX PAYMENT 19,284,00
BALANCE OF TAX DUE ,p0
INTEREST AND PEN• ,00
TOTAL DUE
* FO RP CAL CULAT ION~OF ADDITIONAL INTERESTRSE
L- VOU MAV BE ~
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR).
p REFUND. SEE REVERSE SIDE OF TNIS FORM FOR INSTRUCTIONS