HomeMy WebLinkAbout09-07-12~.C~~ ~-Cy~~~,`! (;r~~ ~~~,,,~~~,,,,,,~~CE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ;~~(.~~d?I~~pM~IT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~~~~~~~`~"0~~~ D ~TIONS AND ASSESSMENT OF TAX
PO BOX 280601
HARRISBURG PA 17128-0601
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GR~r~~~'S i.rUiJ~'i.
CUMBERl.~fO CO., PA
SALLY J WINDER
PO BOX 341
NEWVILLE PA 17241-0341
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-11)
DATE 09-03-2012
ESTATE OF KIRBY BESSIE
DATE OF DEATH 11-17-2011
FILE NUMBER 21 12-0108
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 11-02-2012
(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 t-
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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: KIRBY BESSIE FILE N0.:21 12-0108 ACN: 101 DATE: 09-03-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 5 9,000.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) ,0 0 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .0 0 submit the upper portion
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) 11,48 7.41
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets c8) __ 70,487.41
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q) 21.903.4 3
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 1,4 33.65
11. Total Deductions (11) 23,336.43
12. Net Value of Tax Return (12) 47, 150.98
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) 47,150.98
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:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-)
05-30-2012 CD016036 .00
C15) .00 X
(16) 4 7. 1 ti0. 98 X
C17) . 00 X
c18) . 00 X
AMOUNT PAID
2,
00 - .00
045 = 2,121.79
12 = .00
15 = .00
c19)= 2, 121 .79
TOTAL TAX PAYMENT 2,121.79
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" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~/~