HomeMy WebLinkAbout09-24-12NOTICE OF INHERITANCE TAX Pennsylvania ~
BUREAU OF INDIVIDUAL TAXES~.fl~~,1C'1L~L.4/P~~~~~~ T, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION TIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (12-11)
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HARRISBURG PA 17128-0601 a~u"Jl~~~ "~ 7 _t'J
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Ja f DATE 09-24-2012
. ESTATE OF HUEY LYDA M
DATE OF DEATH 11-05-2011
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FILE NUMBER 21 12-0665
OR~H~W 5 vt.~UFir COUNTY CUMBERLAND
JOHN S DAVIDS~UMBERLAND C~., AA ACN 101
320 WEST CHOCOLATE AVE APPEAL DATE: 11-2 3-2012
P O B O X 4 3 7 (See reverse side under Objections
HERSHEY PA 17033-0437 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 ~
REV-15 _
47 EX AFP C12-11) NOTICE OF INHERITANCE _
_
TAX APPRAISEMENT, ALLOWANCE ___________
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: HUEY LYDA MFILE N0 .:21 12-0665 ACN: 101 DATE: 09-24-2012
TAX RETURN WAS: (X) ACCEPTE D AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .0 0
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) •~~ tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 2,166.07
6. Jointly Owned Property (Schedule F) (6) 1,74 6.8 0
7. Transfers (Schedule G) (7) .00
8. Total Assets C8) 3.912.87
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)_ 1.401.7~i
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 8 6.13
11. Total Deductions C11) 1,487.88
12. Net Value of Tax Return (1P) 2,4 24.99
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax C14) 2,4 24.99
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
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:
c15) .00 X 00 - .00
c16) 7.4?4 - 99 X 045 = 109.12
C17) .00 X 12 = .00
c18) .00 X 15 = .00
C19)= 109.12
~•+~~-~_~.~ Re~eir~ DISCOUNT (+) I AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
06-11-2012 CD016097 nn ,no ,~ ~
TOTAL TAX PAYMENT 109.12
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.