HomeMy WebLinkAbout09-24-12~~~~"(dp,~~ ~€- INHERITANCE TAX Pennsylvania ~
BUREAU OF INDIVIDUAL TAXES [~ n-p LOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION P,G~~ I~~r~~~~ AND ASSESSMENT OF TAX REV-1547 EX AFP C12-11)
PO BOX 260601
HARRISBURG PA 17128-0601
24+, 2 SEP 24 PM 1 ~ 35
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Q#~PHW'J'S~ COURT
ROBERT R CHURCH EsQCUMBERI..AND CO., P/k'^.
PO BOX 11963
HARRISBURG PA 17108-1963
DATE 09-24-2012
ESTATE OF SELLENS ELIZABETH B
DATE OF DEATH 09-12-2011
FILE NUMBER 21 12-0352
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 SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE _ -! R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS E- _
REV-1547 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SELLENS ELIZABETH BFILE N0.:21 12-0352 ACN: 101 ______________
OR
DATE: 09-24-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) .00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) 4 5,4 90.87 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) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 2 0,493.30
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) ~7) .0 0
8. Total Assets c8) 65,984.17
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) fig) .00
10. Debts/Mortgage Liabilities/Liens (Schedule I) C 10) .00
11. Total Deductions
cll)
.00
12. Net Value of Tax Return X12) 65,984.17
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax (14) 65,984.17
NOTE: If an assessment was issued previously, lines 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 (15) 65,984.17 X 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) .00 x 045 = .00
17. Amount of Line 14 at Sibling rate (17) _f10 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B ra te C18) .00 X 15 - .00
19. Principal Tax Due C19)= .00
TAX CREDITS:
r DATE ' I NUMBER I INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX PAYMENT .00
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" (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.(()