HomeMy WebLinkAbout07-10-12 (2)~~~D~^41PR11AY~EMENT E ALLOWANCE TOR (DISALLOWANCE
INHERITANCE TAXDDIV IS ION T~,~1~=r~ Lair' V,~jDEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 2806111
HARRISBURG PA 17128-060~~fZ JIIL f 0 ph f
pennsylvania~~
DEPARTMENT OF REVEN UE
REV-1547 IX AFP (12-ill
2• f4 DATE 07-02-2012
GL~3;;1
ROBERT K VAI2AN0 ,S W., ~ -
110 S OAK ST
MOUNT CARMEL PA 17851-2162
ESTATE OF DICKSTEIN VENITA K
DATE OF DEATfI 10-11-2011
FILE NUMBER 21 11-1152
COUNTY CUMBERLAND
ACN 101
APPEALDATE: 08-31-2012
(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 LI_E __1 --RETAIN-LOWER-PORTION_ FOR YOUR R------------------------------
REV-1547 EX AFP C 2-11) NOTICE OF INHERITANCE TAX APPRAISEMENECORDS ~
T, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: DICKST~IN VENITA KFILE N0.:21 11-1152 ACN: 101 DATE: 07-02-2012
TAX RETURN WAS: (X 7 ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE 0
1. Real Estate
2. Stocks and Bo
3. Closely Held
4. Mortgages/Not
5. Lash/Bank Dep
6. Jointly Owned
7. Transfers (S<
RETURN BASED ON: ORIGINAL RETURN
hedule A)
s (Schedule B7
ock/Partnership Interest CSehetlule C7
ReeelVable (Schedule D)
its/Misc. Personal Property (Schedule E)
roPerty (Schedule F)
Jule G)
c17_ .00
I2) 109,869.84
I3) .OD
I4) .00
I5) 27,080.74
(sl_ .00
(n __ .00
NOTE: To ensure proper
credit Yo your account,
submit the upper po rt io
of this form with your
tax payment.
e. Total Assets ~ (B) 136.950.58
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expanses/Adm. Costs/Misc. Expenses (Schedule H) (gl_ 4.409.19
10. Debts/MOrtgag~ Liabilities/Liens (Schedule I) (10)_ 21.375.10
11. Total Ded ucti ns (117 25.784.29
12. Nei Value of ~ax Return 112) 111,166.29
13. Charitable/Gov~e rnm¢ntal Bequests; Non-elected 9113 Trusts (Schedule J) (13) .DO
14. Net Value of E~s tats Sub7e<t to Tax (14) 111 , 166.29
NOTE: If an ass essment 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 d ate.
ASSESSMENT OF TAX:'I
15. Amount of Lin el 14 at Spousal rate (157 .00 g 00 - .00
16. Amount of Linel 14 taxable at Lineal/Class A rate (167 111 ,166-29 X 045 = 5,002.48
17. Amount of Linej 14 aY Sibling rate (17) -00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rake (18) .00 X 15 = .00
19. Principal Tax DUe (19)= 5,002.4$
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+7
INTEREST/PEN PAID (-7 AMOUNT PAID
01-11-2012 C 015448 250.12 5,500.00
* IF PAID AFTER DATE $NDICATED, SEE REVERSE
FOR CALCULATION OF gDDITIONAL INTEREST.
TOTAL TAX PAYMENT 5,750.12
BALANCE: OF TAX DUE 747.64CR
INTEREST AND PEN. .00
TOTAL DUE 747.64CR
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), VOU MAY BE{,,D~UE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS V~"~