HomeMy WebLinkAbout07-30-12NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL r Qf r MENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~OS ~L"~} I~DUCTIDNS AND ASSESSMENT OF TAX
PO BOX 280601 r ~`i r" CCC
HARRISBURG PA 17128-0601 ~t~E~ S i.! i ~t~ ~~~' `~ .u'J
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KEITH 0 B R E N pI~RLANU CO., PA
44 W MAIN ST
MECHANICSBURG PA 17055-6249
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DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-11>
DATE 07-23-2012
ESTATE OF SEIBERT JR GEORGE F
DATE OF DEATH 05-20-2011
FILE NUMBER 21 11-0660
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 09-21-2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALON_6 THIS LINE ---- ---! R_ETA_IN LOWER POR
TION
FOR YOUR RECORDS (--
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REV-1547 EX AFP C12-11~ NOTICE OF INHERITANCE TAX APPR _
AISEMENT, ALLOWANCE __________
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SEIBERT JR GEORGE FFILE N0.:21 11-0660 ACN: 101 DATE: 07-23-.2012
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) 116,000.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .00 submit the upper portion
4.
Mortgages/Notes Receivable (Schedule D)
(4)
.00 of this form with your
tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 5,332.92
6. Jointly Owned Property (Schedule F) C6) 30, 001 .27
7. Transfers (Schedule G) ~7) .00
8. Total Assets cs) 151 , 334.19
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) fig) 8.609.68
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 2.759.24
11. Total Deductions C11) 11,368.92
12. Net Value of lax Return X12) 139, 965.27
13. Charitable/Governmental Bequests; Non-elected 9113 Tr usts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax (14) 139,965.27
NOTE: If an assessment was issued previously, li nes 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 C15) .0 0 X 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 1 39 . 96F _ 77 x 045 = 6, 298.44
17. Amount of Line 14 at Sibling rate (17) .00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .00 X 15 - .00
19. Principal Tax Due (19)= 6,298.44
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
08-15-2011 CD014846 314.92 7,000.00
TOTAL TAX PAYMENT 7,314.92
BALANCE OF TAX DUE 1,016.48CR
INTEREST AND PEN. .00
TOTAL DUE 1,016.48CR
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. _ Q