HomeMy WebLinkAbout09-24-12pennsylvania ~
,. ~~ TICE OF INHERITANCE TAX
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~ ~~~Ga11N~R~XYS MENT. ALLOWANCE OR DISALLOWANCE DEPARTME NT OF REVENUE
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BUREAU DF INDIVIDUAL TABS ~ ~~^~ ;'-.~'f'~~ UCTIONS AND ASSESSMENT OF TAX REV-I54T Ex AFP uz-111
INHERITANCE TAX OIV ISION ~~~~ ~~~~,, I._,.', ~~'
PO BOX 280601
HARRISBURG PA 1]128-0601 09-24-2012
,,,•,~ ~ri~P Z4 P~1 I~ JE7 DATE JOHN E
` ESTATE OF MILLER
DATE OF DEATH 01-03-2012
!~ ~~~;`~~'~~~ 21 12-0041
FILE NUMBER
O~~t!"~"~~~ wLthT COUNTY CUMBERLAND
RICHARD C SN pppEAL DATE: 11-23-2012
44 W MAIN ST (See reverse side under Objections)
M ECHANICSBURG PA 17055-6249 pnount Renftted
MAKE REGISTER OFB WILLNS REMIT PAYMENT T0:
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG_ THIS LINE __ "'~ __RETAIN_LOWER_PORTION_FOR YOUR_RECORDS_ __ _____
REV-1547 EX AFP C12-11~DISALLOWANCENOFRDEDUCTIONS AN-RASSESSMENTAOFOTAXCE OR
JOHN EFILE N0.:21 12-0041 ACN: 101 DATE: 09-24-2012
ESTATE OF: MILLER
TAX RETURN WAS: (X ) ACCEPTED AS FILED C 7 CHANGED
ORIGINAL RETURN
APPRAISED VALUE OF RETURN BASED ON: 11)-~ NOTE: To ensure proper
1. Real Estate (Schedule A) 114,144.D4 credit tq Your ac <qunt,
12)~~ submit the upper portion
2. Stocks and Bonds (Schedule B)
137 .OD of Yhis form with Your
3. Clas¢ly Held Stock/Partnership Interest (Schedule L) (4)- ~D tax payment.
4. Mortgages/Notes Receivable (Schetlule D7 596,831.56
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C6)
6. Jointly Dwnetl Property (Schetlule F) 177 29- 2
7. Transfers (Schetlule G7 IS) 1.003.631.11
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: 9,648.03
9. Funeral Expenses/Atlm. Costs/Misc. Expenses (Schedule H7 110)
10. Debts/Mortgage Liabilities/Liens (Schedule I) 1117 12,605.05
1127 991,026.06
11. Total Detluctions 198.205.24
12. Net Value of Tax Return [137
13. Charikabl¢/Ggvernmental Bequests; Non-electetl 9113 Trusts (Schetlule J7 792.820 82
(14)
14. Net Value of Estate SubOect to Tax
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• 00
ASSESSMENT OF TAX: .00 x 00 =
I15)~~ 287.30
15. Amount of Line 14 at Spousal rate 116) 6.;g4.F0 X 045 ~~~-
16. Amount of Line 14 taxable at Lineal/Class A rake 117) 79 qqI ~l x 12 = 5,946.16
17. Amount of Line 14 at sibling rate 736.885.01 X 15 = 110,532.75
18. Amount of Line 14 taxabl¢ at Collakeral/Class B rate 1187~~~ 1197= 11~ 6,766y21
19. Principal Tax Due
TAX CREDITS: DISCOUNT I+) AMOUNT PAID
PAYntnl °---
DATE NUMBER INTEREST/PEN PAID (- 105,000.00
CD015756 5,526.32 6,516.21
03-29-2012 .00
04-18-2012 CD015864
TOTAL TAX PAYMENT 117,042.53
BALANCE OF TAX DUE 276.32CR
INTEREST AND PEN. .00
TOTAL DUE 276.32CR
+ IF PAID AFTER DATE INDICATED, SEE REVERSE AF REFUND.DSEEIREVERSELSIDEAOFATHISEFORM FOR)INSOTRUCTIONS. l,~
FOR CALCULATION OF ADDITIONAL INTEREST.