HomeMy WebLinkAbout08-24-12 (2)NOTICE OF INHERITANCE TAX Pennsylvania ~
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A~LOWA NCE OR DISALLOWANCE DEPARTMENT OF REVENUE
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BUREAU OF INDIVIDUAL TAXES A _D ~DUGT '~?~('; pND
INHERITANCE TAX OIV ISION ~[~ ~i ASSESSMENT DF TAX REV-1547 IX AFP (12-11)
PO BUX 280601 ~- ~ ~'' -' ~ --'-`~
HARRISBURG PA 17128-0681
zolzauc24 AF911~35 DATE 08-20-2012
ESTATE OF ADOMAITIS DOROTHY A
DATE OF DEATH 02-09-2012
FILE NUMBER 21 12-0298
ORPtWiV~ CuIJF~T COUNTY CUMBERLAND
JAMES D BOGAR CUMBERLAND CO., PA ACN 101
1 W MAIN ST APPEAL DATE: 10-19-2012
SHIREMANSTOWN PA 17011-6327 (See reverse side under Objections)
Anount Resitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
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REV-1547 EX AFP (12-11J NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTI ONS AND ASSESSMENT OF TAX
ESTATE OF: ADOMAITLS DOROTHY AFILE N0 .:21 12-0298 ACN: 101 DATE: 08-20-2012
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (17 •00 NOTE: To ensure proper
(2) .00 credit ko your account,
2. Stocks and Bonds (Schedule B) submit the upper Portion
3. Closely Held Stock/Pa rt nershlp Interest CSchetlule .00
C7 (3) of Yhis form with your
4. Mortgagor/Notes Receivable (Schedule D7 (47 •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Prgpe rty (Schedule E) (5) 105,080.32
6. Jointly Ownetl Property (Schedule F) (6) .00
7. Transfers CSchetlule G) (77 .00
(H) 105.080.32
e. Total Assets
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Atlm. Costs/Misc. Expenses CSchetlule H) (9) 14.41 8.60
10. Debts/Mortgage Liabilities/Liens (Schedule I7 (10) .00
(117 14,418.60
11. Total Deductions 90,661.72
12. Net Value of Tax Rakurn (12)
13. Charitable/Governmental Bequests; Non-electetl 9113 Trusts CSchetlule J) (13) .00
14. Nat Value of Estate Subject tq Tax (14) 90.661.72
NOTE: If an assessoent 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 Line 14 at Spousal rate (15) .00 X 00 = .00
16. Amount of Line 14 kaxable at Lineal/Class A rate (167 90.667 -77 X 045 4,079.78
17. Amount of Line 14 at Sibling rate (17) -00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B ra te (18) .00 X 15 = .00
19. Principal Tax Due (197° 4,079.78
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PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
05-04-2012 CD015935 203.99 3,875.79
TOTAL TAX PAYMENT 4,079.78
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER GATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRT, VOU MAY HE 1f1E
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR IN STRULTIONS_ A7