HomeMy WebLinkAbout08-24-12r ~\~, , .~[C~~~~~' [C ((}~•~~~,NOTICE OF INHERITANCE TAX ennsYYlvania
BUREAU DF INDIVIDUAL 7ti'~~L ~- ~APARpY`d'EMENT, ALLOWANCE OR DISALLOWANCE PDEPARTMENT OF REVEN UE ,
INHERITANCE TAX DIVISION ~ ~d,~" ~ S-'f}~~Fl ~'EDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 ~:E~%'iJ •--• REV-154] EX AFP (12 -11)
HARRISBURG PA 1]128-0601
,~ii2 AUG 24 ~h ~i ~ ~~ DATE oH-zo-zo12
ESTATE OF LIBERATOR DIANNE K
DATE OF DEATH 05-29-2011
ORPF1/~j~~5 'vLiUR'~ FILE NUMBER 21 11-0745
DOUGLAS G MI~~ERLAl~1D CO.. PA COUNTY CUMBERLAND
ACN 101
60 W POMFRET ST APPEAL DATE: 10-19-2012
CARLISLE PA 17013-3243 (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 FDR YOUR RECORDS l--~ _ _
REV-1547 EX AFP C12-117 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLDWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: LIBERATOR DIANNE KFILE N0.:21 L1-0745 ACN: 101 DATE: 08-20-2012
TAX RETURN WAS: (X ) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN N0. O1
1. Real Estate (Schedule A) (1) .00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) ,00 cradlt to your acw unt,
3. Closely Hald Stock/Partnership Interest (Schedule C) (37 .00 submit the upper portion
pf this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (57 14,609.00
6. Jointly Ownetl Property (SChetlule F) (6) .OD
7. Transfers (S<hetlule G) (7) .00
8. Total Assess (e) 14.609.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 780.00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Detluctions (11) 780.00
12. Net Value pf Tax Return (12) 13,829.00
13. Charitable/Governmental Bequests; Nan-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject io Tax (14) 87,364.92
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.
ASS
ESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate (15) .00 X 00 - .00
36. Amount of Line 14 taxable at Lineal/Class a rata (16) R 7.~6G 92 X 045 = 3
931
43
17. Amount of Line 14 at Sibling rata (1]) .DO X 12 = .
x
.00
18. Amount of Line 14 taxable at Collateral/Class B rate C16) .00 7( 15 - .00
19. Principal
TAX CR
D Tax Due (19)= 3,931.43
E
ITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
08-26-2011 CD014899 170.57 3,240
81
11-28-2011 CD015258 .00 .
622.31
TOTAL TAX PAYMENT 4,033.69
BALANCE OF TAX DUE 102.26CR
INTEREST AND PEN. .00
TOTAL DUE 102.26CR
* IF PAID AFTER DATE INDICATED. SEE REVERSE IF TOTAL OUE IS REFLECTED AS A ''CREDIT'' (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRU CTIONS.~
A