HomeMy WebLinkAbout07-10-12 (3)ND~'}~['~,.7i CE TAX Pennsylvania ~
BUREAU OF INDIVIDUAL rpxES APPRAISEMEN~""'AYti~BET~ DISALLOWANCE
INHERITANCE TAX DIVISION DF DEDUC T~' DEPARTME NT OF REVEN UE
PD BOX 280601 ~i./1RyT-6~S SMENT DF TAX REV-154] EX AFP (12-1 L)
HARRISBURG PA 1]128-0601
2012 JUL t 0 Ph ia~7¢ 2
07-o2-zolz
ESTATE OF MCCLENACHAN BLAIR
~~~i':;. Jt DATE OF DEATH 04-11-2011
KEITH O BRENNEMAN "x`415 Ct,y~~NTYUMBER CUMBERLAND
44 W MAIN ST A 101
APPEAL DATE: 08-31-2012
PO BOX 318 (See reverse side under Ohjeclions)
MECHANICSBURG PA 17055-0318 Aoount Renitted ~-----~
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 REC O_RDS F
____________________ -----------------------
REV-1547 EX AFP (12-117 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: MCCLENACHAN BLAIR FILE N0.:21 11-0634 ACN: 101 DATE: 07-02-2012
TAX RETURN WAS: (X ) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED DN: ORIGINAL RETURN
1. Real Estate (Schedule A)
2.
Stocks and Bonds (Schedule B) (L] .00
NOTE: To ensure proper
(2) 32,144.00 credit to your account,
3. Closely Held Stock/Partnership Inters st (Schedule C) (3) DO submit the upper portion
4. Mortgages/Notes Receivable (Schedule D) of this form with your
5.
Cash/Bank Deposits/Misc. Personal Property (Schedule E) (4)
(5) .00
3,085.00 tax payment.
6. Jointly Owned Property (Sehetlule F) (6) .00
7. Transfers (Schedule G)
(7) .00
8. Total Assets
APPROVED DEDUC (e) _ 35.229.00
TIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Sehetlule H) 9
67 ~
10.
Debts/Mortgage Liabilities/Liens (Schedule I1 Iy)
.
(10) 28 + 66
25
11. Total D¢ductions
12.
Net Value of Tax Return (11J 9,957.91
13.
Charitabl
/G (12) 25,271.09
e
overnmental Bequests; Non-alectetl 9113 Tr usts (Schedule J) (
14
N
t 13) .00
. e
Value of Estate Subject to Tax
(14J 25.271.09
NOTE: If an assessaent was issued previously, li nes 14, 15 and/or 16
17
reflect fiDUres that include the total of
ALL
t ,
, 18 and 19 will
ASSESS
MENT OF TAX: re
urns assess ed to date.
15. Amount of Line 14 at Spousal rate (15) 8,699
09 00 =
16.
Amount of Line 14 t . X .00
axable at Lineal/Class A rate (16) )6
D72
17.
Amount of Line 14 at Sibling rate .
Dn X 045 =
723.24
(17) OD X 12 =
00
I8. Amount of Line 14 taxable at Collateral/Class B rata (18) 500
00 15 = .
19.
Principal Tax Due . X 75.00
TAX CREDITS: (19) 798.24
PAYMENT
DATE
03-07-2012
06-25-2012 RECEIPT
NUMBER
CD015670
SBADJUST DISCOUNT (+)
INTEREST/PEN PAID (-)
.00
.00
AMOUNT PAID
798.24
3.67
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX PAYMENT 798.24
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE ,Op
IF TOTAL DUE IS REFLECTED AS A "CREDIT'' (CR), VOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.