HomeMy WebLinkAbout08-06-12NOTICE OF INHERITANCE TAX Pennsylvania ~
BUREAU OF INDIVIDUAL TAXES ~~ ;i ~(~j,~ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION (;[ {'~ ~T ;'D~~~S7~~N$ AND ASSESSMENT OF TAX
PO BOX 260601 IlL~7~Jj~. `, ~ l.'J REV-1547 EX AFP C12-11>
HARRISBURG PA 17128-0601
X012 ~~~ `v PM 1= 2~ DATE 07-30-2012
ESTATE OF KAVASANSKY CARMELA R
• DATE OF DEATH 03-24-2011
~.:L.t~.~'i'~ ..',
~('~,cJ LO~~T FILE NUMBER 21 11-0511
CAMILLE K HYDER ~i JNIBE~LFJ~~ L'Q„ pq COUNTY CUMBERLAND
ACN 101
1711 LOCUST ST APPEAL DATE: 09-28-2012
NEW CUMBERLAND PA 17070-1459 (See reverse side under Objections)
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 ~
REV-1547 EX AFP C12-11~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALL
OWANCE _ _____
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: KAVASANSKY CARMELA RFILE N0.:21 11-0511 ACN: 101 DATE: 07-30-2012
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) 00
2.
Stocks and Bonds (Schedule B) C2) .
,QQ NOTE: To ensure proper
credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .0 0 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) 1,500.00 tax payment.
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets
APPROV
ED DEDUCTIONS AND EXEMPTIONS: ts) 1,500.00
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) ~q) _00
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .00
11. Total Deductions
12.
Net Value of Tax Return C11)
(12 .00
1
500
00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) )
C13) ,
.
.00
14. Net Value of Estate Subject to Tax
C14) _ 1,500.00
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16
17 18 and 19
,
reflect figures that include the total of ALL returns assessed to ,
will
date
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 (16) l ,rinn.n0 x 045 .
= 67
50
17. Amount of Line 14 at Sibling rate (17) _~n X 12 .
=
18.
Amount of Line 14 taxable at Collateral/Class B rate (18) .00
X 15 .00
=
00
19. Principal Tax Due .
TAX CREDITS: C19) = 67.50
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
04-17-2012 CD015856 63-
07-23-2012
SBADJUST .
00 68.13
. .O1
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX PAYMENT 67.50
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YDU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~~