HomeMy WebLinkAbout08-06-12r
r NOTICE OF INHERITANCE TAX Pennsylvania ~
F~~~~z n'~~~ ISEMENT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL' 7t- ~[ ~,+jE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION _.Xv~L. , ,, ~,, DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 260601 REV-1547 EX AFP C12-11)
HARRISBURG PA 17128-0601
~~ 12 ~U6 -5 PM i ~ 22
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BRADLEY L~~~~~~D CA.. PA
200 N HANOVER ST
CARLISLE PA 17013-2423
DATE 07-30-2012
ESTATE OF HOOVER EVELYN F
DATE OF DEATH 01-05-2011
FILE NUMBER 21 11-0206
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 09-28-2012
(See reverse side under Objections)
Awount Rewitted
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 •--
REV-15
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47 EX AFP C12-11~ NOTICE OF INHERITANCE TAX APPRAISEM
ENT, ALLOWANCE _ _
-------
OR
DISALLOWANCE OF DEDUCTIONS AND ASSES SMENT OF TAX
ESTATE OF: HOOVER EVELYN FFILE N0.:21 11-0206 ACN: 101 DATE: 07-30-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) 153,500
00
2.
Stocks and Bonds (Schedule B)
C2) .
,00 NOTE: To ensure
proper
credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .00 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D)
c4)
40,688
49 of this form with your
5.
Cash/Bank Deposits/Misc. Personal Property (Schedule E)
C5) .
42,777.23 tax payment.
6. Jointly Owned Property (Schedule F) c6) 71,821.10
7. Transfers (Schedule G) (7) .0 0
8. Total Assets
c8) _ 308.786.82
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Cg)__ (,3,577.4 ;
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 1.790.98
11. Total Deductions
12.
Net Value of Tax Return C11) 45,368.41
13
Ch
it
bl C12) 263,418.41
. ar
a
e/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
(13) .00
14. Net Value of Estate Subject to Tax
C14) 263,418.41
NOTE: If an assesswent was issued previously, lines 14, 15 and/or 16
17 18
reflect figures that include the total
of ALL ,
,
returns assessed to d and 19 will
ate
ASSESSMENT OF TAX: .
15. Amount of Line 14 at Spousal rate (15) .00 X 00 = 00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 7A~.C'18
G1 X 045 = .
17
Amount of Li
14 . 11,853.83
. ne
at Sibling rate C17)
_ ~ X 12 =
.00
18. Amount of Line 14 taxable at Collateral/Class B ra te C18) 00
15 =
19.
Principal Tax Due .
X .00
TAX CREDITS:
c19)=
11,853.83
r,arntni RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
04-04-2011 CD014243 592.69 12,500.01
TOTAL TAX PAYMENT 13,092.69
BALANCE OF TAX DUE 1,238.8bCR
INTEREST AND PEN. .00
TOTAL DUE 1,238.86CR
~ 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. r~
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