HomeMy WebLinkAbout09-04-12~{ ~ I~T~E OF INHERITANCE TAX
~~"~A4T~~ ~~~ ~1~T, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES ,:?;~ u
INHERITANCE TAX DIVISION ~~--L~~~`a~~F~'Y1~ l9'G'tIONS AND ASSESSMENT OF TAX
PO BOX 280601
N1IRRISBUR6 PA 17128-0601
Pennsylvania
DEPARTMENT OF REVENUE
REV-1547 IX AFP (12-ill
~~l2 S~~' -4 P!~ 2~ 40
DATE OS-27-2012
ESTATE OF FASICK FLORENCE M
`~~-~-~'~~~`~? DATE OF DEATH 02-27-2012
Q~~~Nfs vC~~1T FILE NUMBER 21 12-0271
CUMBERUaND CO.. PA COUNTY CUMBERLAND
JAMES D BOGAR ACN 101
1 W MAIN ST APPEAL DATE: 10-26-2012
SHIREMANSTOWN PA 17011-6327 (See reverse side underObjeetions)
A~eunt Rs~itted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETA.IN LOWER PORTION FOR YOUR RECORDS ~
REV-1547 EX AFP C12-11) NOTICE OF INHERITANCE TAX APP RAISEMEHT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: FASICK FLORENCE MFILE N0.:21 12-0271 ACN: 101 DATE: 08-27-2012
TAX RETURN WAS: C X)ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .00 NOTE: To ensure proper
2. Stocks and Bonds CSchodule H) (2) .00 credit to your account,
3. Closely Hold Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
of this form with your
4. Mortgagor/Notes Receivable [Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property CSchedulo E) C5) 749,002.05
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 749.002.05
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expensos (Schedule N) (g) 60.97 S
10. Debts/Mortgage Liab111t1es/Lions (Schedule I) (10)_. .00
11. Total Deductions (11) 60,971.28
12. Net Value of Tax Return (12) 688,030.77
13. Charitable/Governmental Bequests; Non-olocted 9113 Trusts (Schedule J) (13) 331.515.39
14. Net Value of Estate Subject to Tax C14) 356,515.38
NOTE: If an assessslent 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) .00 X 00 = .00
16. Amount of Line 14 taxable at Linoal/Class A rate (16) .n0 X 045 = .00
17. Amount of Line 14 at Sibling rate (17) ~ _ DO X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) 356,515.38 )( 15 - 53,477.31
19. Principal Tax Due (19)= 53,477.31
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
05-23-2012 CD016009 2,673.87 50,803.44
TOTAL TAX PAYMENT 53,477.31
BALANCE OF TAX DUE .00
INTEREST AND PEN. .0-0
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.