HomeMy WebLinkAbout08-06-12,.
Q~'[' ;~ F INHERITANCE TAX Pennsylvania ~
F'i~4~~'~~ LLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION ~~ ~S AND ASSESSMENT OF TAX REV-1547 EX AFP C12-11)
PO BOX 280601
HARRISBURG PA 17128-0601
142 AUC7 -5 PM I' 24
DATE 07-30-2012
ESTATE OF MODER KATHRYN E
~.~:#'is~, ~~'- DATE OF DEATH 09-05-2011
ORPHAN'S ~~U~ST FILE NUMBER 21 11-1078
D CO., PIA COUNTY CUMBERLAND
MARIELLE F HAZEN E ACN 101
STE 202 APPEAL DATE: 09-2 8-2012
200 0 L I NGL ESTOWN RD (See reverse side under Ofijections)
HARRISBURG PA 17110-9347 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 ~
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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: MODER KATHRYN EFILE N0 .:21 11-1078 ACN: 101 DATE: 07-30-2012
TAX RETURN WAS: (X) ACCEPTE D AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) •00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B)
.00
C2)
credit to your account,
00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) . of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 4,8 8 3.38
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) 2, 013.97
8. Totai Assets C8) 6 , 897.35
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H] (q) 5.64 8.84
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 1.28 2.95
11. Total Deductions (11) 6,931.79
12. Net Value of Tax Return (12) 34.4 4-
13. Charitable/governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) 34.44-
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 rate
17. Amount of Line 14 at Sibling rate
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 Due
TAX CREDITS:
(15) .00 )(
(16) .On X
c17) _ no x
(ls) .00 x
00 = .00
045 = .00
12 = .00
15 = .00
(19)= . 00
AMOUNT PAID
P DATE T I NUMBER I 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" (CR), YOU MAY BED
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.