HomeMy WebLinkAbout07-23-12NOTICE OF INHERITANCE TAX
^c,rnfyRpRy~~ g(~'~, ALLOWANCE OR DISALLOWANCE
BUREAU DE INDIVIDUAL TAxES T1C-I~JRJ~lJ ~~`.t1 }({.'I ONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION ~ ((~~'~T~(,Q C
PO BOX 280601 "~I`f~~`%`r'' „ ~2.Lx ~/
HARRISBURG PA 17128-0601
~n12JU123 PH 133
OFPNAN'S ~OUnT
RICKIE J COOK CUMBERLA~~D CO.. PA
10 RED FOX LN
MECHANICSBURG PA 17050-1627
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-l lJ
DATE 07-16-2012
ESTATE OF .STREBLG BETTY J
DATE OF DEATH 12-28-2011
FILE NUMBER 21 12-0072
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 09-14-2012
(See reverse side under Objections
Amount Remftted~
MAKE REGISTER OFB WILL SD REMIT PAYMENT T0:
1 COURTHOUSE= S4UARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS F _ _______________
REV-1547 EX AFP (12-11~DISALLOWANCENOFRDEDUCTIONS ANDRASSESSMENI'AOFOTAXCE OR
ESTATE OF: STREBIG BETTY JFILE N0.:21 12-0072 ACN: 101 DATE: 07-16-2012
TAX RETURN WAS: I X ) ACCEPTED AS FILED C 7 CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
(1) •DO NOTE: To ensure Proper
1. Real Estate (SChetlule A) DQ credit kc your account,
(27 submit the upper Dortion
2. Stoeks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest CSChedule C) (3) .BO taxtpaymentm with Your
C4)
4. Mortgages/Notes Receivable (Schedule D) 17,664.91
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) ,DO
(6]
6. Jointly Owned Property CSChedule F) .OB
(7)
7. Transfers (Schedule G)
(g) 17.664.91
e. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11
12
13
14
(9) 96.5[1
c1D7_~-5.476.24
Total Detluctions
Net Value of Tax Return
Charitable/Governmental Bequests; Nan-elected 9113 Trusts (Schedule J)
Net Value of Estate Sub9ect to Tax
NOTE: If an assessment was issued Previously,
reflect figures that include the total
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rake
17. Amount of Line 14 at Sibling rate
(u7 15,572.74
clz) 2,092.17
c13) .00
c14) 2.092.17
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns assessed to date.
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Oue
TAX CREDITS: _ - -
DATE I NUMBER I INTEREST/PEN PAID (-)
.BO x 00 = .00
c15)
(16) .OD X 045 = .00
(n) an X 12 = .00
ue) 2,092.17 x 15 = 313.83
(197= 313.83
AMDU NT PAID
TOTAL TAX PAYMENT 3.13.83
3ALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
, IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECT E'.D AS A "CREDIT" (CR). YOU MAY BE DUEL
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.