HomeMy WebLinkAbout08-24-12BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BO% 280601
HARRISBURG PA 1]128-0601
6~ OF INHERITANCE TAX
~.FC~~CJC~h~~ ALLOWANCE OR DISALLOWANCE
rEaj~~, ~EOyCrt4,ONS AND ASSESSMENT OF TAX
lid! 2 AUU 24 a4~. ~ ~ ~ 34
0~~~"V'iin~IC ~~:J~iiSr
CHRISTOPHER J ARRB~RLAND CO., PA
68N REGENCY WOC7DS NORTH
CARLISLE PA 17015
CUT ALONG THIS LINE ~-- RETAIN LOWER PORTION FOR YOUR RECCIRDS F
REV-1547 EX AFP C12-llll) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
~~. DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: ROMBERGER'i SANDRA KFILE N0.:21 07-0751 ACN: 101 DATE: 08-20-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHAIJGEO
APPRAISED VALUE OF RF~TURN BASED ON: ORIGINAL RETUF
1. Real Estate (Schedule A)
2. Stocks and Bonds 4Schedule B)
3. Closely Held StoclQ/Partnership Interest (Schedule C)
4. Mortgages/NOt¢s Rg'eaivaDle (Schedule D)
5. Cash/Bank Deposity/Misc. Personal Property (Schedule E7
6. Jointly Owned Pro{~e rty (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/l~d m. Costs/Misc. Expenses (SChetlule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
(1) .00
(2) .00
I3) .00
I4) .00
(B) :5,000.00
(6) .00
(n .00
pennsylvania ~
DEPARTMENT OF REVEN UE
REV-1547 E% AFP (12-01)
NOTE: To ensure proper
erad3k to your account,
submit the upper portion
of this form with your
tax payment.
(e) 3.000.00
(9) 1.400.00
(10) 15.140.00
11. Total Deductions '
12. N¢t Yalue of Tax I{aturn
13. Charikable/GOVarn~hantal Bequests; Non-elected 9113 Trusts (Schedule JJ
14. Nat Value of Estate Subject to Tax
NOTE: If an assessl~ent was issued previously,
reflect figures that include the total
ASSESSMENT OF TAX: '~.
15. Amount of Line 14at Spousal rate
16. Amount of line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
DATE 08-20-2012
ESTATE OF ROMBERGER SANDRA K
DATE OF DEATH 12-15-2006
FILE NUMBER 21 07-0751
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 10-19-2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE S9UARE
CARLISLE PA 17013
(11) 16,540.00
(13) .00
u4) 13,540.00-
lines 14, 15 and/or 16. 17, 18 and 19 will
of ALL returns assessed to date.
18. Amount of Line 141taxable at Collateral/Class B ra Ya
19. Principal Tax Due '~
TAX CREDITS:
(15) .00 X 00 = .00
(16) 00 x 045 = .00
(177 .Dn X 12 = .00
e) .00 15 = .00
(19)= .00
(1
PAYMENT
DATE REC IPT
NUMB ER DISCOUNT (+7
INTEREST/PEN PAID (-) AMOUNT PAID
* IF PAID AFTER DATE INDI~~CATED, SEE REVERSE
FOR CALCULATION OF ADD IhIONAL INTEREST.
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
X