HomeMy WebLinkAbout09-07-12r n1~'~ti1- ,- T E: OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~{~,~'v~^ ~' '~~'~~ ~~ ~ ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~~~`~~~~}~~~..~4`D~~!~.~IDNS AND ASSESSMENT OF TAX
PO BOX 280601 1
HARRISBURG PA 17128-0601
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THOMAS E FLOWERCUM~~~~~'{~ CQ., PA
FLOWER LAW LLC
10 W HIGH ST
CARLISLE PA 17013-2922
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-11)
DATE 09-03-2012
ESTATE OF GOUSE WILLIIAM L
DATE OF DEATH 04-02-2011
FILE NUMBER 21 11-0528
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 F-
REV-15
------------
47 EX AFP C12-11) NOTICE OF INHERITANCE TAX _
APPRAISEMENT, ALLOWANCE
-------------
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESS MENT OF TAX
ESTATE OF: GOUSE WILLIIAM LFILE N0.:21 11-0528 ACN: 101 DATE: 09-03-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE O
F RETURN BASED ON: ORIGINAL AND SUPPLEMENTAL RETURN N0. O1
1. Real Estate (Schedule A) ~1) 65, 000
00
2.
Stocks and Bonds (Schedule B) . NOTE: To ensure proper
I2) ,00 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
) (5) .
8,864.4 2 taz payment.
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) c7) .00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: c8) 73,864 42
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) tq) 1 .69x,_94
10. Debts/Mortgage Liabilities/Liens cSchedule I) (10) 8 00.30
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts cSchedule J)
14. Net Value of Estate Subject to Tax
NOTE: If an assessment was issued previously,
reflec t 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
cll) 14,495.54
c12) 59,368.88
t13) .00
c14) 59.368.88
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns assessed to date.
c15) .00 x
C16) _ nn X
c17) nn x
c1B) 59, 368.88 X
00 = .00
045 = .00
12 = .00
15 = 8,905.33
t19)= 8, 905.33
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
PAYMENT orrrrer
DATE NUMBER INTEREST/PEN PAID C-)
I~ ~ni~
AMOUNT PAID
INTEREST IS CHARGED THROUGH 09-18-2012 TOTAL TAX PAYMENT
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 758.05
REVERSE SIDE OF THIS -FORM 8,147.28
INTEREST AND PEN. 182.03
TOTAL DUE 8,329.31
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A ••CREDIT" (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS~.~j
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