HomeMy WebLinkAbout07-10-12 (3)NOTICE OF INHERITANCE TAX Pennsylvania ~
APPR T~~1/~NCE OR DISALLOWANCE DEPARTMENT OF REVEN UE
BUREAU OF INDIVIDUAL TAXES L ,(W}~{W'
INHERITANCE TAX DIVISION OF _ (~ SSESSMENT DF TAX REV-1547 EX AFP (12 -11)
PD BOX 280601 ~('~Ly V~ tAp~e
HARRISBURG PA 1]128-0601 ~1 ~l ll •y'
10I2JUL IO Pr't12C (STATE OF SHERIFF012 ADA I
DATE OF DEATH 10-22-2011
~~~,[~^~( ,~ FILE NUMBER 21 11-1344
GuWS C(~j COUNTY CUMBERLAND
RONALD E JOHNSON ESQ 111 A-rti ry. ~ ACN 101
78 W POMFRET ST ~~l7MJ W APPEAL DATE: 08-31-2012
CARLISLE PA 170 13-3216 (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 LINE ~-- RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1547 EX AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SHERIFF ADA IFILE N0.:21 11-1344 ACN: 101 DATE: 07-02-2012
TAX RETURN WAS: I X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON• ORIGINAL RETURN
1. Real Estate (Schetlula A7 (17 .00
2. Stocks and Bonds (Schedule B) (27 .00
3. Closely Held Stock/Partnership Inta rest (Schedule C) C37 .00
4. Mortgages/Notes Receivable (Schedule D) (4J .00
5. Cash/Bank Deposits/Misc. Personal Property (Sehetlule E7 (5) 3,889.87
6. Jointly Own¢d Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
NOTE: Tc ensure proper
credit to your account,
submit the upper portSon
of this form with your
tax payment.
e. Total Assets (el 3.889.87
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expanses (Schetlu la N) (9) 4.1F;0.99
30. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 46.766.90
11. Total Deductions (11) 50,917.12
12. Net Value of Tax Return (127 47,027.25-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule ,q (13) .00
14. Net Value of Estate Sub3ect to Tax (14) 47.027.25-
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.
ASSESS MENT OF TAX:
15. Amount of Line 14 at Spousal rate (15) .00 X 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) .On X 045 = .00
17. Amount of Line 14 at Sibling rate (17) -00 X 12 = .00
18. Amount pf Line 14 taxable at Collateral/Class B ra te (18) .00 7( 15 - .00
19. Principal Tax Due (197= .00
TAX CR EDITS:
PAYMENT
DATE RECEIPT
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 INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAV BE DL I~
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~~``••