HomeMy WebLinkAbout08-24-12NOTICE OF INHERITANCE TAX
BUREAU DF INDIVIDUAL rnx~~r 1`)FCA NT. ALLOWANCE OR DISALLOWANCE
INHERITANCE TAZ Drv1s1oN (^( ,'~~UCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 C~IiW ~L ~ ., iJ~_~~J
HARRISBURG PA 17128-0601
~~I~ AUG 24 Ali I I ~ 34
ORPFiiv`J'S ;CUrr
Lours FA2EKA~J-,hgERl?ND CO.. PR
6043 EDWARD DR
MECHANICSBURG PA 17050-6817
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-154] FX AFP (12-Ill
DATE 08-20-2012
ESTATE OF MILLER JOHN R
DATE OF DEATH 06-23-2010
FILE NUMBER 21 11-0229
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 10-19-2012
(See reverse side under Objections)
Amount Remitted
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 RECORDS ('~
REV-1547 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: MILLER JOHN RFILE N0.:21 11-0229 ACN: 101 DATE: 08-20-2012
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate CS<hetlule A) (1) .00
2. Stocks and Bonds (Schedule B) (2) .00
3. Closely Held Stock/Partnership Interest CSchatlule C) I3) .00
4. Mortgages/Not¢s Receivable (Schedule D7 I4) .00
5. Cash/Bank Deppsits/Misc. Personal Property (Schedule E7 (5) 50.508.00
6. Jointly Owned Property (Schedule F) (5) 69.500.00
7. Transfers (Sehetlule G) (7) .00
NOTE: TO ensure proper
credit to your account,
submit th¢ upper portion
of this form with your
taX payment.
8. Total Assets (8) _ 120.008.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedu le H) (9) 6.30 0.00
30. Debts/Mortgage Liabilities/Liens (Schedule I) (30) .00
11. Total Deductions II1) 4.300.00
12. Net Value of Tax Return I12) 115.708.00
13. Charitable/Governmental Bepuests; Non-electetl 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (141 __ 115.708.00
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16
17 18 and 19
ill
reflect figures that include the total of ALL ,
,
returns assessed to d w
ate.
ASSESS MENT OF TAX:
15. Amount of Line 14 at Spousal rate (15) 115,708.00 7( 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate (ib) 00 X 045 = .00
17. Amount of Line 14 at Sibling rate (17) 00 =
. X 12 .00
18. Amount of Lin¢ 14 taxable at Collateral/Class B rate (18) .00 7( 15 - .00
19. Pri n<Spal Tax Due C19)=
TAX CREDITS: .00
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT
INTEREST/PEN (+)
PAID
(-)
AMOUNT
PAID
70TAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
T07AL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TDTAL OUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DU~
FOR CALCULATION DF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. q