HomeMy WebLinkAbout07-10-12 (3)_ _ .. _ ..-
perr r±~r?~ r ~ 'T ICF, OF INHERITANCE TAX Pennsylvania ~
RA_~~~~~~y1~~~ENT. ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXE¢}C~IC~'S }"~.~. iQ UCTIONS AND ASSESSMENT OF TAX REV-1547 oc AFP (12-1ll
INHERITANCE TAX DIVISION IfllCL ffJJ
PO BOX 280601
HARRISBURG PA 17128-0601 qp 4 ' ~ ~~ ~~, I 0
Ltl~L ~~~ DATE 07-02-2012 -
LESBERGER JAMES M
ESTATE OF R].DD
GLFRi<Of DATE OF DEATH 11.-24-2011
39
^~U~ir FILE NUMBER 2'.l 12-02
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ACN 101
.THOMAS E FLOWER APPEAL DATE: 08-31-2012
10 W HIGH ST (S¢e reverse side under Objections)
CARLISLE PA 17013-2922
Amount Remitted
D REMIT PAYMENT TD:
NAKE
B
A
WILL S
OF
REG ST R
1 COURTHOUSE SOUARE
CARLISLE PA 17013
~- RETAIN LOWER PORTION FOR YOUR RECORDS lam" ______
_ _ ___________
CUT ALONG THIS LINE _ _ __ ___ __ _ _ _ _ ____
CE OR
O
A
R
R
N
TAX
OF
ASSESSMENT
REV-1547 EX AFP C12-3lODISALLOWANCE
DEDUCTIONS AND
OF 2012
MFILE N0.:21 12-0239 ACN: 101 DATE: 07-02-
ESTATE OF: RIDDLESB6RGER JAMES
TAX RETURN WAS: (X ) ACCEPTED AS FILED ( ) CHANGED
ORIGINAL RETURN
APPRAISED VALUE OF R'iETURN BASED ON:
1) .00 NOTE: 7
q ensure proper
(
Estate (Schedule A) ,00 credit
Rea]
1 to Your account.
i
.
.
(2) suhmit
Stocks and Bonds (SChetlule B)
2
f this
'00 on
the upper port
farm with your
.
o
(3)
C1 oe:e ly Held Stock/Partnership Interest (Schedule C)
.00 tax Day
3 ment.
.
(4)
MorR9ages/Notes keceivable (Schedule D) 22~07g,45
4
.
Cash/Bank Deposits/Misc. Personal Property (Schedule E) (6
5.
Jointly Owned Property (Schedule F)
34,982.25
6
.
(7)
7. Transfers (SChetlule G) (9) 57.060.70
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: 16.074.47
Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
9
10 .00
.
(
10. Debts/Mortgage LSabilitles/Liens (Schedule I) 16,074.47
(11)
40,986.23
11. Total Deductions (12) .00
12. Net Value of TaX Return (13)
mental Bequests; Non-elected 9113 Trusts (S<hetlule ~') 40,986.23
13. Charitable/Govern
(14)
14. Ne't Value of Estate Sub]ect to Tax
18
17
16
and 19 will
,
.
]:f an assessment was issued previously, 1Snes 14, 15 and/or
d to date
.
NOTE:
that include the total of ALL returns assesse
i
gures
reflect f
-~-00 X 00
ASSESSMENT OF TAX: ~ _
(15) .00
~_
~
15. Amount of Line 14 at Spousal race 4D qg 6_.23_ X 045 =
(16) 1 r844.38
_
16. Amount of Lin¢ 14 taxable ak Lineal/Class A rate
-On X 12
17. Amount of Line 14 at Sibling rake (17)
.00 x 15 ~._
18. Anio unt of Line 14 taxable at Collateral/Class B rate (18) (19)= 1.844.38
19. Principal Tax Due
TAX CREDITS: nlscouNT (+)
crcrmT AMOUNT PAID
~r mcn~ I .-_-_
DATE NUMBER INTEREST/PEN PAID (-)
~~=~n1~ (015614 92 22
TOTAL TAX PAYMENT 1,844.38
BALANCE OF TAX DUE .00
INTER E',ST AND PEN. .00
T07AL DUE .00
IF PAID AFTER DATEI NDICATED. SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR). YOU MAY BE DUES
FOR CALCULATION OF'.ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.