HomeMy WebLinkAbout07-13-12 ~.-- ° ~: ;
NOTICE OF INHERITANCE TAX Pennsylvania ~, ~
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BUREAU OF INDIVIDUAL TAXES ;
AP r' ANCE OR DISALLOWANCE
F~~ DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
PO BOX 280601 ~ `AND ASSESSMENT OF TAX REV-1547 EX AFP (12-11)
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HARRISBURG PA 17128-0601 .
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2Ql2 t~~ t ~? P~ l3; [,~[~ DATE 07-09-2012
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ESTATE OF CLARK EDWARD H
DATE OF DEATH 11-03-2011
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FILE NUMBER 21 11-1296
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MARYDEL W CLARK Qt'it'('~h~V~' ~'4~r~~~~ COUNTY CUMBERLAND
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ACN 101
2 LAUREL DR APPEAL DATE: 09-07-2012
MECHANICSBURG PA 17055-5535 (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 E~
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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 OF: CLARK EDWARD HFILE N0.:21 11-1296 ACN: 101 DATE: 07-09-2012
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) .0 0
NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) 19,332.00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) • 00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 168.00
6. Jointly Owned Property (Schedule F) (6) 17, 792.00
7. Transfers (Schedule G) C7) 9, 116.00
8. Total Assets C8) _ 46.408.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Cq) 14, 7.00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions C11) 14,357.00
12. Net Value of Tax Return (12) 32, 051.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 32,051.00
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 (15) 32, 051 . 00 -
x 00
.00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) _ _00 x 04 5 = .00
17. Amount of Line 14 at Sibling rate C17) _00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B ra te C18) .00 x 15 - .00
19. Principal Tax Due (19)= .00
TAX CREDITS:
'""~^°^~ rct~tiri DISCOUNT (+) 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" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.~~