HomeMy WebLinkAbout08-24-12 (2)BUREAU DF INDIVIDUAL
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
f~[ /.y ~m~m~B, OF INHERITANCE TAX Pennsylvania ~
TAXES R.E~1C7~r.1Cn~~ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
F(~;^'~ PEZ~IJ~If~ONS AND ASSESSMENT OF TAX
R ,~ .~: REV-1547 FX AFP (12-11)
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CHRISTOPHER J ARR~riBERLAND CO., PA
68N REGENCY WOODS NORTH
CARLISLE PA 17015
DATE 08-20-2012
ESTATE OF ROMBERGER SANDRA K
DATE OF DEATH 12-15-2006
FILE NUMBER 21 07-0751
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 10-19-2012
(See reverse side under Objections)
Amount Remitted---1
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ---- 1 RETAIN LOWER PORTION FOR YOUR RECORDS (--~
REV-1547 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: ROMBERGER SANDRA KFILE N0.:21 07-0751 ACN: 101 DATE: OS-20-2012
TAX RETURN WAS: C X ) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schetlule A) (1) .00
2. Stocks and Bonds (Schedule B7 (27 .00
3. Closely Heltl Stock/Partnership Interest (Schedule C) (3) .00
4. Mortgages/Notes Receivable (Sehedul¢ DJ (4) .00
5. Cash/Bank Deposits/Misc. Personal Property (Schetlul¢ E) (5) 3.000.00
6. Jointly Owned Property CSChedul¢ F) (6) .00
7. Transfers (Schedule G) (77 .00
NOTE: Ta ansur¢ proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
8. Total Assets c87 3.DOO.oo
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedu le H) (g) 1.400.00
10. Debts/Marteage Liabilities/LSens (Schetlule I) (10)_ 15.140.00
11. Total Deductions C11) 16,540.00
12. Net Value of Tax Return (127 13.540.00-
13. Charitable/Governmental Bequests; Non-electetl 9113 Trusts (Schedule J) (137 .00
14. Net Value of Estate Subject to Tax (14) 13,540.00-
NOTE: If an assessnent 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 Lfne 14 at Spousal rata (15) .00 7( 00 - .00
16. Amount of Lina 14 taxable at Linaal/Class A rate (16) -DD x 045 = .00
17. Amount of Line 14 at Sibling rate (17) 00 X 12 = .00
18. Amount of Lina 14 kaxable at Collateral/Class B rate (18) .00 7( 15 - .00
19. Principal Tax Due (197=
.00
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT
INTEREST/PEN (+7
PAID
(-)
AMOUNT
PAID
IUTAL IAA PAYMENT .OO
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00 -
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRT, VDU MAV BE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.