HomeMy WebLinkAbout08-06-12~~[[~ NOTICE OF INHERITANCE TAX Pennsylvania ~
BUREAU OF INDIVIDUAIP.[C~1.~~~ ~,jF~~SEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~,EGi~t~~ ~~`, 1q~t~QQ DEDUCTIONS AND ASSESSMENT OF TAX REY-1547 EX AFP (12-11)
PO BOX 26D601 ~[
HARRISBURG PA 17128-0601
~~!2 AUG -6 PM i ~ 23
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ORPHAN'S ~OJRT
WAYNE F S~Ii N~~IS~-'D CO.. P1~
53 W POMFRET ST
CARLISLE PA 17013-3217
DATE 07-30-2012
ESTATE OF HOUSKA EMMA L
DATE OF DEATH 03-26-2011
FILE NUMBER 21 11-0449
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
APPRAISEMENT, ALLOWANCE _
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: HOUSKA EMMA LFILE N0.:21 11-0449 ACN: 101 DATE: 07-30-2012
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN N0. O1
1. Real Estate (Schedule A) (1) 00
2.
Stocks and Bonds (Schedule B) .
C2) 2,8 23.66 NOTE: To ensure proper
credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D)
C4)
00 of this form with your
5.
Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) .
.0 0 tax payment.
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) C7) .00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: cB) 2.823.66
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Cg)_ 15 =00
10. Debts/Mortgage Liabilities/Liens [Schedule I) (10) .00
11. Total Deductions
12.
Net Value of Tax Return (11) 15.00
13.
Charitable/Governmental Bequests; Non-elected 9113 Trusts (12)
(Schedule J) 2,808.66
14.
Net Value of Estate Subject to Tax (13) .00
(14) 497.246.68
NOTE: If an assesswent was issued previously, lines 14, 15 and/or 16
17 18
d
reflect figures that include the total
of ALL ,
,
returns assessed to d an
19 will
ate
ASSESSMENT OF TAX: .
15. Amount of Line 14 at Spousal rate C15) 00
00 =
16.
Amount of Line 14 taxable at Lineal/Class A rate
C16) .
X
497
?46 .00
17.
Amount of Line 14 at Sibling rate .
68 X 045 = 22,376.10
(17) 00 X 12 =
.00
18. Amount of Line 14 taxable at Collateral/Class B ra te C18) 00
15 =
19.
Principal Tax Due .
X .0 0
TAX CREDITS: C19)= 22,376.10
PAYMENT RECEIPT DISCOUNT (+)
~
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT
PAID
06-09-2011
09-21-2011 CD014554
CD014988 1,078.95 20,500.00
02-13-2012
CD015583 .00
51- 670.79
. 126.89
TOTAL TAX PAYMENT 22,376.12
BALANCE OF TAX DUE .02CR
INTEREST AND PEN. .00
TOTAL DUE .02CR
~ 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.