HomeMy WebLinkAbout09-17-12~ - ,- ICE OF INHERITANCE TAX Pennsylvania ~
F~~G~~~iz~'d~~NT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ~~-. r.~ ,. ,. _
INHERITANCE TAX DIVISION ~~~~#~ } ,~~ -~~~CTIDNS AND ASSESSMENT OF TAX REV-1547 IX AFP (12-11)
PO BOX 280601
HARRISBURG PA 17128-0601 ~qy r
~~~L SEP ~ 7 PM ~~ 52 DATE 09-11-2012
ESTATE OF KAZINER SHIRLEY
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DAV I D W RAHAU ~•!
157 E WASHINGTON ST
CHAMBERSBURG PA 17201-2536
DATE OF DEATH 08-10-2010
FILE NUMBER 21 10-0987
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 11-10-2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALON_6 THIS LINE _~-- R_ETA_IN LOWER POR
TION
FOR YOUR RECORDS ~-
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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: KAZINER SHIRLEY FILE N0.:21 10-0987 ACN: 101 DATE: 09-11-2012
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .00
NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) .00
6. Jointly Owned Property (Schedule F) (() 28, 330 .50
7. Transfers (Schedule G) C7) .00
8. Total Assets (8) 28,330.50
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Iq) 94 5.00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions I11) 945.00
12. Net Value of Tax Return C12) 27, 385.50
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) 27,385.50
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
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns assessed to date.
cls) .00 X
(16) _ 00 X
C17) 9 7.38F. S0 X
cls) .00 X
00 - .00
045 = .00
12 = 3,286.26
15 = .00
c19)= 3,286.26
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
05-25-2012 FN008836 102.67- 3.400.00
TOTAL TAX PAYMENT 3,297.33
BALANCE OF TAX DUE 11.07CR
INTEREST AND PEN. .00
TOTAL DUE 11.07CR
* 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.