HomeMy WebLinkAbout09-24-12[[(~(~ ~ oTICE OF INHERITANCE TAX Pennsylvania ~
BUREAU OF INDIVIDUAL TAXE~`-~~P;~}~p~t~I~NT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION [~ ~y(`•~`~~ ;'Qfl,;,,~~I?ucTIDN$ AND ASSESSMENT OF TAX REV-1547 EX AFP C12-11)
PO BOX 280601 ~ I~t„71ti • ~.. 'Ji ~ " «~'J
HARRISBURG PA 17126-0601
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EDWARD P S E E B~IPIRBERLAND CU•, PA.
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555 GETTYSBURG PIKE
MECHANICSBURG PA 17055-5207
DATE 09-24-2012
ESTATE OF ALEXIS SOPHIE
DATE OF DEATH 03-12-2012
FILE NUMBER 21 12-0329
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 11-23-2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
CUT ALON_6 THIS LINE _ --1 R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS E-- _ _______________
REV-1547 EX AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: ALEXIS SOPHIE FILE N0.:21 12-0329 ACN: ln1 i)ATFe no-~~_~ni~
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
APPRAI SED 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) C3) .00 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) 53,8 93.51
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) ~7) .00
8. Total Assets ce) 53,893.51
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) ~q) 26.391.42
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 697.75
11. Total Deductions C11) 27, 089.17
12. Net Value of Tax Return X12) 26,804.34
13. Charitable/Governmental Bequests; Non-elected 9113 Tr usts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 26,804.34
NOTE: If an assessment was issued previously, li nes 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate C15) .0 0 X 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 76 .804 ~4 x 045 = 1 , 206.20
17. Amount of Line 14 at Sibling rate C17) _00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 - .00
19. Principal Tax Due C19)= 1 , 206.20
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE
NUMBER
INTEREST/PEN PAID C-) AMOUNT PAID
06-08-2012 CD016091 60.31 1,145.89
TOTAL TAX PAYMENT 1,206.20
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. (y,(~