HomeMy WebLinkAbout08-24-12-,nr
~,.~_L,,~-CC fLt.J10TICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL Yrt ~~LI-~~ ~WRMEIG IE EMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~ `~"~r °-'a9dk1 QIEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 L`'+v l'°'~ ,~. ".-~'~
HARRISBURG PA 17128-6601
pennsylvania ~
DEPARTMENT OF REVENUE
REV-154] FX AFP (12-]ll
%G!2 AUu 24 AN 11: 34
DATE DB-zo-2olz
ESTATE OF BREECH COLLEEN V
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: DATE OF DEATH 02-14-2011
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FILE NUMBER 21 11-0235
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RLAND CO., PR
RICHARD A COUNTY CUMBERLAND
, pCN 101
19 W KELLER ST APPEAL DATE: 10-19-2012
MECHANICSBURG PA 17 055-6338 (See reverse side under06jections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT AL ONG THIS LINE ---- ~- RETAIN LOWER POR TION FOR YOUR RECORDS ~
REV-15
47 EX AFP (12-11J NOTICE OF INHERITANCE _
TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTI ONS AND ASSESSMENT OF TAX
ESTATE OF: BREECH COLLEEN VFILE N0 .:21 11-0235 ALN: 101 DATE: 08-20-2012
TAX RETURN WAS: (JO ACCEPTED AS FILED ( ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .00 NOTE: To en
2.
Stocks antl Bonds (Schedule B) sure proper
(2) 1,378.15 credit to your account,
3. Closely Held Stack/Partnership Interest (Schedule C) (3) .00 submit the upper portion
4.
Mortgages/Notes Receivable (Schedule D) of this form with your
00
(4)
.
tax payment.
5. Cash/Bank Deposits/Misc. Persq nal Property (Sched ule E) (5) 9,779.26
6. Jointly Owned Property (Schetlule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (B) 11.157.41
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Atlm. Costs/Misc. Expenses (Sched ule H) (9) 3.134.F0
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 2.261.47
11. Total Dedu<tigns (117 5,395.97
12. Net Value of Tax Return (12) 5,761.44
13. Charitable/Governmental Bequests; Nan-elected 9113 Trusts (Schetlule J) (13) _ 3.000.00
14. Net Value of Estate Subject to Tax (14) _ 2.761.44
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
16. Amount of
17. Amount of Line
Line
Line 14
14
14 at Spousal
taxable at
at Sibling rate
lineal/Class A rate
rate C15)
(16)
(17). .00 X
7.761 .44 X
DO X 00 -
045 =
12 = .00
124.26
.00
18. Amount of
19. Principal
TAX CREDITS: Line 14
Tax Due taxable ai Collateral/Class B rate (18) .00 X 15 -
(19)= .00
124.26
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
04-30-2012 00015916 1.70- 125
96
08-13-2012 SBADJUST 00 .
. .OL
TOTAL TAX PAYMENT 124.26
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'' (CR), YOU MAY BE DUE Ll
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. A