HomeMy WebLinkAbout09-24-12NOTICE OF INHERITANCE TAX
BuREau of INDIVIDUAL TaxES i?`~ „ ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~ y-~- ~~~~E~~' ONS AND ASSESSMENT OF TAX
PO BOX 260601 ~~~~,~ V ~!'~ ~i~' i ~,~~;~
HARRISBURG PA 17126-0601
12 SEP 24 PN i ~ 38
ORPI~:PSr'S Ct~~P=
LISA MARIE COYN~ERLANQ CO., PA
COYNE & COYNE
3901 MARKET ST
CAMP HILL PA 17011-4227
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-1ll
DATE 09-17-2012
ESTATE OF SGRIGNOLI MARTHA B
DATE OF DEATH 05-20-2011
FILE NUMBER 21 11-0866
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 11-16-2012
(See reverse side under Objections)
Amount Remitted --1
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SpUARE
CARLISLE PA 17013
CUT ALON_6 THIS LINE ---- -~ R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS t--
REV-1547 EX AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SGRIGNOLI MARTHA BFILE N0.:21 11-0866 ACN: 101 _ ___________
OR
DATE: 09-17-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) 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) C2) ,Q 0 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
4.
Mortgages/Notes Receivable cSchedule D) (4)
.00 of this form with your
tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 23,8 77.97
6. Jointly Owned Property cSchedule F) ~6) .00
7. Transfers (Schedule G) c7) .00
8. Total Assets c8) 23.877.97
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) ~q) 13, 90.8 9
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 255.44
11. Total Deductions X11) 13,445.33
12. Net Value of Tax Return C12) 10,4 31.64
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax (14) 10.431.64
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
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.
c15) 10,431.64 x 00 = .00
c16) . no x 045 = .00
cls) .00 X 15 = .00
c19)= . 00
~"'^°^' ecectlri DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) 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" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIDNS.