HomeMy WebLinkAbout07-10-12 (2)NOTICE OF INHERITANCE TAX
BUREAU DF INDIVIDUAL raxes~jE~ T, ALLOWANCE OR DISALLOWANCE
INHERITANCE TA% Dlv is loN OPTIONS AND ASSESSMENT OF TAX
PG BOX 280601 REGISTER = ~t'~t'~LS-
HARRISBURG PA 17128-0601
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SUSAN H CONFA1iANDW.r i~
2331 MARKET'ST
CAMP HILL PA 17011-4642
(1) •UU
I2) 171,843.41
I3) .00
t4)_ .00
c 5)_ 49,819.77
ce)_ .00
I7) _ 228, 283. O 1
CUT ALONG THIS LIME 1 --RETAIN LOWER PORTION FOR YOUR RECORDS (-~
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REV-1547 EX AFP ( 2-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
', DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: HEISEY! IRENE EFILE N0.:21 11-1037 ACN: 101 DATE: 07-02-2012
I' TAX RETURN WAS: (X ) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE 0
1. Real Estate
2. Stocks and Bo
3. Closely Held
4. Mortgages/Not
5. Cash/Bank Dep
6. Jointly Owned
7. Transfers (Sc
RETURN BASED ON: ORIGINAL RETURN
hetlula A)
s (Schedule B)
o<k/Partnership Interest (Schedule C)
Receivable (Schedule D)
its/Misc. Personal Property (Schedule E)
roperty CSehedule F)
dine G)
e. Total Assets ''..
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expe ns~a s/Adm. Costs/Misc. Expenses CSehedule H)
10. Debts/MOrtgagH Liabilities/Liens (Schedule I)
11. Total Deductidns
12. Net Value of Tax Return
DATE 07-02-2012
ESTATE OF HEISEY IRENE E
DATE OF DEATfI 08-26-2011
FILE NUMBER 21 11-1037
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 08-31-2012
(See reverse side under Objections)
Amount Remit•t ed~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SpUARE
CARLISLE PA 17013
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 IX AFP (12 -11)
NOTE: To ensure proper
credit to your account,
submit the upper portio
of this form with your
tax payment.
cB) 449.946.19
Ig)_ 11.469.93
clo)_ 7.840.56
13. Charitable/GO ern mental Bepuests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
al) 19.310.49
a2) 430,635.70
I13) .00
I14) 430.635.70
NOTE: If an ass es sment was issued previously, lines 14, 15 ,and/or 16, 17, 18 and 19 will
reflect fijy ures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAXd
15. Amount of Lin e~i 14 at Spousal rate (15) .00 X 00 = .00 '
16. Amount of Lined 14 taxable at Lineal/Class A rate (16) 430.63F.70 X 045 = 19.378.61
17. Amount of Linel 14 at Sibling rate (17) .00 X 12 = .00
18. Amount of Linei 14 taxable at Cpllateral/Class B rate C18) .00 X 15 - .00
19. Principal Tax Due (19)= 19,378.61
TAX CREDITS:
PAYMENT
DATE ECEIPT
(NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
11-08-2011 C 015191 968.93 18,800.00
• IF PAID AFTER DATE ~NDICATED, SEE REVERSE
FOR CALCULATION OF gDDITIONAL INTEREST.
TOTAL 'LAX PAYMENT 19,768.93
BALANCE. OF TAX DUE 390.32CR
INTEREST AND PEN. .00
TO T'AL DUE 390.32CR
IF TOTAL DUE IS REFLECTED AS A ^CREDI T" (CR), YOU MAY BE DUE ~_
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.