HomeMy WebLinkAbout08-24-12 (2)NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~{~.wrQL rlJ :~ ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX Orv151ON OI~TIONS AND ASSESSMENT OF TAX
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HARRISBURG PA 17128-6601
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JAMES A MILLER~~ERLAND CO., PA
4 SOUTH 17TH STREETY
CAMP HILL PA 17011
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-11)
DATE 08-20-2012
ESTATE OF BRISTLE LEWIS L
DATE OF DEATH 08-12-2011
FILE NUMBER 21 12-0290
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 10-19-2012
(See reverse side under Objections
Amount Renitted -1
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SpUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1547 EX AFP (12-11J NOTICE OF INHERITANCE TAX APPRAISEM ENT. ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSES SMENT OF TAX
ESTATE OF: BRISTLE LEWIS LFILE N0.:21 12-0290 ACN: 101 DATE: 08-20-2012
TAX RETURN WAS: I X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RET URN
1. Real Estate CSChedule A) (1J 70x000.00 NOTE: To ensure proper
2. Stocks and Bontls (Sehatlule B) (27 .00 credit to your account,
00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) I3) . of this farm with your
4. Mortgages/Notes Receivable (Schedule D) (4) .UU tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E7 (5) 770.00
6. Jointly Owned Property CSChedule F) (6) .00
7. Transfers (Schedule G7 (77 35x486.00
B. Total assets (B7 106.256.00
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 27.485.71
16 Debts/Mortgage Liabilities/Liens (SChetlule I) (107 15.856.09
.
(117 43.341.80
11. Total Deductions (127 62x914.20
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-eleeketl 9113 Tr usts (Schedu le J) (137 .00
14. Net Value of Estate Subjaet to Tax C14) 62x914.20
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.
ASSESSMENT OF TAX:
15. Amount of Lina 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rake
19. Principal Tax Due
TAY CRFDSTS:
(157 .00 x 00 = .00
cis) 62.974.20 x 045 = 2x831.00
a n -00 x 12 = .00
(le) .00 x 15 = .00
(i9)= 2,831.00
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
05-03-2012 CD015934 .00 2,831.00
TOTAL TAX PAYMENT 2,831.00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
x IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (C R), VDU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTION`5~.
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