HomeMy WebLinkAbout07-10-12 (2)BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 1]128-0601
JARED S CHILDERS
STE 306
14 N MAIN S7
CHAMBERSBURG
NO pCnE _OF INHERITANCE TAX
APPRAISEM Y,'e/ DISALLOWANCE
OF DEDU ~ ~ S6SMENT OF TAX
Y /~
r 1 ~,j \J
pennsylvania ~
DEPARTMENT OF REVENUE
REY-154] EX AFP (12 -11]
?QJ1JlIL IQ pM~~A~,~T B7-oz-2DLz
S E OF STEWART SARA
~t ~, -~+. DATE OF DEATH 06-28-2011
QQ(~./aLip'G,~ FILE NUMBER 21 11-0861
-~^. n(r ~7` (~Jp jCOUNTY CUMBERLAND
}~ nWXSS ~N 1 01
APPEAL DATE: 08-31-2012
(See reverse side under Objections)
PA 17201-1814 Amount Remitted
MAKE (NECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTH(IUSE SQUARE
CARLISLE PA 17013
A
CUT ALONG THIS LINE _--_ ~- RETAIN LOWER PORTION FOR YOUR RECORDS !-~
REV-15 47 EX AFP (1~-11) NOTICE OF INHERITANCE TAX APPRAISEME NT. ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESS MENT OF TAX
ESTATE OF: STEWART SARA AFILE N0.:21 11-0861 ACN: 101 DATE: 07-02-2012
TAX RETURN WAS: (X ) ACCEPTED AS FILE D ( ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schetlule A) (ll .00 NOTE: To en
2.
Stocks antl Bonds (Schedule B) ~
C2)~
9.800.00 sure proper
cra tlit to your account,
3. Closely Hald Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
4.
Mortgages/Notes Receivable (Schedule D) ~
(4)
00 of this form with your
. tax paymenk.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 339.00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schatlule G) (7) .00
e. Total Assets (8) 10.139.00
APPROV ED DEDUCTION$ AND EXEMPTIONS:
9. Funeral Ezpenses/Adm. Costs/Misc. Expenses [Schedule H) (q) 12.989.00
30. Debts/MOrt9aga '.Liabilities/Liens (Schatlule I) (10) .00
11. Total Deductions O1) 12,989.00
12. Net Value of Tax Return (12) 2,858.00-
13. Charitable/GOVe,rnmental Bequests; Non-elected 9113 Trusts (Schedule .1) (13) .00
14. Net Value of Est ate Sub3e<t to Tax C14) 2.850.00-
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) .00 X 00 - .00
16. Amount of Line 14 taxable et Lineal/Class A rake (16) 00 x 045 = .00
17. Amount of Line 14 at Sibling rate (17) _nn X 12 = .00
18. Amount of
~ Line 14 taxable at Collateral/Class B rate (18) .00 )( 15 - .00
19.
Pri neipal Tax Due C19)=
.00
TAX CREDITS:
PAYMENT
DATE R LEIPT
NUMBER DISCOUNT
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 IN~ICATED, SEE REVERSE IF TOTAL DUE IS REFLECTEI) AS A "CREDIT" (CR). VOU MAY BE DI~Ju
FOR CALCULATION OF AD ITIDNAL INTEREST. A REFUND. SEE REVERSE SI]]E OF THIS FORM FOR INSTRUCTIONS. V f7